This study investigated the concentrations of monobutyltin (MBT), dibutyltin (DBT) and tributyltin (TBT) in the sediments of the Qianzhen Fishing Port (Taiwan) in 2020. Further, the pollution status, composition, and potential ecotoxicity of BTs were evaluated. This case study provides a reference for the benefits of the ban of TBT-based antifouling paint to date. Results showed that the total butyltin (ΣBTs, sum of TBT, DBT, and MBT) concentrations measured in the sediments of the Qianzhen Fishing Port ranged between 14.2–807 ngSn·g−1 dw, with an average of 356 ± 305 ngSn·g−1 dw. TBT was the most dominant species, with an average concentration of 303 ± 287 ngSn·g−1 dw. This average TBT concentration is about 4.3 times lower than in 2003, showing the progress of gradual degradation of TBT in the sediments. Still, the degradation is rather slow, with a half-life of about 8.09 years. An analysis of the effects of TBT on organisms in the sediments of the Qianzhen Fishing Port was carried out according to the TBT toxicity guidelines of the US Environmental Protection Agency and the assessment class criterion for imposex (ACCI) of the Oslo and Paris Commission (OSPAR). The results showed that TBT levels in 80% of the sediments may pose negative effects on sensitive gastropods, and half of the sediments may even have an impact on gastropod reproduction. These show that marine life is still affected and threatened by TBT compounds, despite the decline of TBT concentrations since the ban of TBT-containing antifouling paints on ships in 2008. Therefore, it is necessary to continue paying attention to the changes of TBT concentrations and their potential ecological risks in the marine environment, and to formulate TBT management plans and strategies to mitigate their impacts in marine ecosystems.