Climate change is one of the issues of greatest concern to today’s society. The increase in temperatures has affected sea levels, polar masses and extreme events, among others. There are many scientific studies that analyze the impacts of climate change on coastal communities, but most of them focus on beach erosion and coastal recession. Scientific literature on the effects of climate change on ports and harbors and their adaptation is much less abundant. Ports are essential for the economy and society of their cities, so studying the impact of climate change on them is an urgent need. The Mediterranean and the Spanish Mediterranean coast is one of the areas that will be most affected by climate change in the future. In addition, the Spanish economy depends a lot on its tourism and, thus, on its coastal cities. Therefore, the study of the impact of climate change on Spanish ports and coastal communities is essential. This article presents a review of the studies carried out until now on the effects of climate change on Spanish ports, and it identifies research gaps and weaknesses and suggests new research lines.