Tidal dynamics substantially govern nearshore circulation patterns. The discharge of sewage at different tidal stages may have a significant impact on the dilution of pollutants. However, discussions on tidal phase sewage discharge strategy are still rare. This study focuses on the narrow tidal passage in the Ningbo-Zhoushan sea area, which receives a large amount of coastal wastewater, but the role of the unique hydrodynamic processes in the dilution of pollutants in this region remains unclear. By using a combination of on-site measurements and the FVCOM-dye simulation method, the scenario of high-concentration sewage retention in the tidal passage was demonstrated. The coastal residual circulation formed by strong tidal currents confined over 78% of the tracers within a 3 km range near the shore, and a subsurface dye accumulation zone emerged along the 25–50 m isobaths. Monsoon transitions regulated pollution plumes, inducing 5–8% seasonal variability in pollution footprints controlled by wind-tide-stratification interplay. The tidal phase discharge strategy was revealed to be highly effective in this study; both submerged discharge in deep-water zones and intermittent discharge strategies implemented in shallow-water zones significantly reduce the spatial coverage of high-concentration sewage plumes. Our findings highlight the importance of formulating discharge strategies based on tidal phases in typical narrow and deep tidal passages.