Embodiments of the present invention disclose a management method, apparatus, and system for coverage optimization. The method includes obtaining measurement reports of a coverage optimization target region, and determining an actual value of a coverage optimization target within the coverage optimization target region according to the measurement reports. Coverage optimization processing is performed on the coverage optimization target region when the actual value of the coverage optimization target is smaller than a preset expected value of the coverage optimization target. According to the embodiments of the present invention, automatic determination is implemented to determine whether the coverage optimization processing needs to be performed on the coverage optimization target region, thereby improving management efficiency of coverage optimization.