Tourism in coastal areas is becoming increasingly important in Integrated Coastal Zone Management (ICZM) as an integrated approach that balances the requirements of different tourist sectors. This paper analyzes ICZM in continental Ecuador and the Galapagos Islands from the perspective of the 3S tourism, and presents its strengths, weaknesses, opportunities and threats (SWOT). The methodology used was based on a literature review of ten aspects of the highest relevance to ICZM, i.e., Policies, Regulations, Responsibilities, Institutions, Strategies and Instruments, Training, Economic Resources, Information, Education for Sustainability, and Citizen Participation. The results highlight four aspects as strengths (Policies, Responsibilities, Institutions and Citizen Participation), while the most notable weaknesses were Regulations and Education for sustainability. Strategies and Instruments, as well as Information, were identified as opportunities to stand out. The main threats were Economic Resources and Training. Ecuador does not have clearly established public policies that would allow for the integrated management of 3S tourism and be considered as productive, valuable alternatives. It is necessary to consolidate and promote 3S tourism as a State policy and as a means to improve the economies in coastal areas. Finally, Ecuador needs to overcome negative changes in the macroeconomic environment and reverse its current deteriorated image.