Coastal erosion and accretion are long-term process that may cause changes in shoreline and beach profiles. Due to erosion and accretion effects, most of the coastal areas in Malaysia are suffering from destruction of property especially at the coastal areas in east coast of Peninsular Malaysia. This study was conducted to determine the effects of erosion and accretion on beach profiles at four (4) coastal areas in Kuala Terengganu using remote sensing and GPS observation methods. The objectives include to derive the coastal erosion and accretion rate, to measure coastal elevation for beach slope angle calculation, and to determine the relationship between beach slope angle with coastal erosion and accretion. The erosion and accretion rate was derived from SPOT-5 satellite image and unmanned aerial vehicles (UAV). In order to obtain the beach profile, the elevation with 50m offset for every chainage, and 5m offset for each cross-section point were carried out using real-time kinetic (RTK) observation methods. It was found that the highest and lowest erosion and accretion rates were 170.29 m²/year and 57.53 m²/year, respectively. The beach profile became steeper with the beach slope values of 11.004° and 7.652° at high and low erosion areas, respectively. The relationships between beach slope angle and coastal erosion/accretion were found as 0.12 and 0.86 respectively. The findings showed that steeper beach profiles influenced the high rate values of erosion and accretion. For more accurate findings, further studies on the factors affecting the erosion and accretion such as monsoon seasonal changes and morphological impact are necessary to support the reliable decision-making process for sustainable coastal management.