In Colombia, most of the energy is produced by using water resources. However, the morphological impact of damming has not been thoroughly studied yet. Therefore, upstream and downstream changes in the channel width and sinuosity along the river due to the Betania, Prado, Salvajina, and Urrá I Dams, four of the oldest hydroelectric projects, were estimated. These changes were reported by using aerial photographs and satellite images to compare the river before and after dam construction. The analysis was complemented by including hydrological trends and geological characteristics of the areas to evaluate their relevance on the impacts on channel morphology. It was shown that factors such as valley confinement and the bank’s composition are key to determining the magnitude of the impact downstream of the dam. Upstream of the dam, contrastingly, the influence of the reservoir geometry controls the magnitude of the morphological changes, marking the boundaries of affected areas. The impacts of dam construction on river morphology vary notably, but including the geological characteristics of the river reach can be useful to improve predictions of the channel morphology response. The proposed methodology can be used to identify biotic compensation measures for new projects, a task that is not well defined in several countries.