Wind plays a crucial role in the formation of coastal dunes, and in China, these dunes are shaped by the combined effects of typhoons and winter monsoons. However, the unique characteristics of Chinese coastal dunes impacted by these forces remain poorly understood, as prior research has predominantly focused on their separate impacts. This study employed RTK-GPS technology to conduct 14 high-precision morphological assessments of coastal dunes in Tannan Bay, Pingtan Island, Fujian, China, between 2014 and 2017, aiming to investigate the response patterns of coastal dunes to typhoons and winter monsoons. Our findings indicate that coastal dunes respond variably to typhoons of differing intensities, with considerable height changes across different sections; however, winter monsoons contribute to an overall increase in dune height. Both dune volume and height increased due to continuous sediment accumulation at the base of the windward slopes. Additionally, the average high-water level advanced seaward by 3.0–4.0 m. We concluded that in Tannan Bay, typhoons exert only a temporary “braking” effect on dune morphology, whereas the winter monsoon is the primary driver of its long-term evolution. These findings contribute to a comprehensive understanding of coastal dune dynamics and provide insights for effective coastal sand management and disaster prevention strategies.