Marine diesel engines, which provide main power source for ships, mainly contribute to air pollution in ports and coastal areas. Thus there is an increasing demand on tightening the emission standards for marine diesel engines, which necessitates the research on various emission reduction strategies. This review covers emission regulations and emission factors (EFs), environmental effects and available emission reduction solutions for marine diesel engines. Not only the establishment of the emission control areas (ECAs) in the regulations but also many experiments show high concerns about the sulfur limits in fuels, sulfur oxides (SOx) and nitrogen oxides (NOx) emissions. Research results reveal that NOx emissions from marine diesel engines account for 50% of total NOx in harbors and coastal regions. Sulfur content in fuel oil is an important parameter index that determines the development direction of emission control technologies. Despites some issues, biodiesel, methanol and liquefied nature gas (LNG) play their important roles in reducing