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Planning for adaptation to climate change requires regionally relevant information on rising air and ocean temperatures, sea levels, increasingly frequent and intense storms, and other climate-related impacts. However, in many regions there are limited focused syntheses of the climate impacts, risks, and potential adaptation strategies for coastal marine areas and sectors. We report on a regional assessment of climate change impacts and recommendations for adaptation strategies in the NE Pacific Coast (British Columbia, Canada), conducted in collaboration with a regional planning and plan implementation partnership (Marine Plan Partnership for the North Pacific Coast), aimed at bridging the gaps between climate science and regional adaptation planning. We incorporated both social and ecological aspects of climate change impacts and adaptations, and the feedback mechanisms which may result in both increased risks and opportunities for the following areas of interest: “Ecosystems”, “Fisheries and Aquaculture”, “Communities”, and “Marine Infrastructure”. As next steps within the region, we propose proactive planning measures including communication of the key impacts and projections and cross-sectoral assessments of climate vulnerability and risk to direct decision-making.