In underwater wireless sensor networks (UWSNs), media access control (MAC) is important because it may have a significant impact on network performance; however, the complex and changeable underwater communication environment is a great challenge for the MAC protocol. In flowing water, the network nodes are constantly moving, and the number of competitors in the network also varies. The existing hybrid MAC protocol neither can adapt to the dynamic network load nor can switch the access control protocols with changing network loads, which may result in poor network performance. In order to solve the above problems, this paper proposes a load-based time slot allocation (LBTSA) protocol. The LBTSA selects the slot allocation scheme, from a set of possible schemes, according to the instantaneous network load. Then, based on the relative priority of the nodes and the optimal number of backoff stages, the host node selects the optimal access control protocol. This not only adapts well to changing network loads but also maximizes network throughput. By assuming that the number of competitors obeys a universal Poisson distribution, the LBSTA protocol and the HCR (a hybrid MAC protocol using channel reservation) protocol are compared. As the results show, the throughput of the LBTSA is higher than that of the HCR protocol, and the end-to-end delay of the LBTSA is lower than that of the HCR protocol. INDEX TERMS MAC protocol, network load, time slot allocation, underwater wireless sensor networks. I. INTRODUCTION Human underwater activities in oceans have grown rapidly in recent years; a huge number of sensors, actuators and various types of vehicles have already been deployed underwater. Underwater equipment with communication functions can be used to construct the Internet of Underwater Things (IoUT) [1]. Thus, underwater wireless networks have become an increasingly popular research topic over the last decade [2]. Currently, there are several underwater wireless communication technologies (e.g., acoustic, optical and electromagnetic wave), which can be applied to UWSNs [3]. Underwater optical communication is affected by ocean turbidity, light scattering and background ambient light noise. Moreover, optical communication requires a line-ofsight link in point-to-point style, i.e., two communication The associate editor coordinating the review of this manuscript and approving it for publication was Guangjie Han.