Coasts are characterized by high biological and ecological productivities, and are theatre of strategic economic activities, including tourism, fishing and aquaculture. Both anthropic and natural hazards can thus affect coasts, causing their deterioration. The monitoring of coasts in terms of evolution, adaptation, contamination and resilience, is a pivotal point composed of both classic measurement approaches, and innovative approaches as remote sensing and the use of unmanned aerial vehicles. In the last years, climate change is increasing its effects all over the world and coasts are a delicate system suffering these effects particularly. Climate change has important impacts on coasts, with a serious consequence represented by sea level rise. The latter causes coastal erosion, leading to ecological and economic issues and with consequences for human health. The Mediterranean Basin, which has always represented an important crossroads of different civilizations and economic and cultural exchanges, is now threatened by the consequences of climate change. This area is decribed as an example of coastal system of strategic importance and subjected to serious challenges. Engineering interventions are countermeasures to cope with coastal erosion and coastal degradation. These countermeasures are aimed at protecting the coasts and the populations living on the coasts. The types of intervention can be defined of hard engineering, as in the case of fixed structures in concrete, and of soft engineering, with structures of protection builted according to the principles of nature. Engineering procedures provide coastal benefits, although they can cause further coastal damage. It is thus necessary to protect the coasts and the same time actions aimed at mitigating climate change must be implemented, according to the rules of sustainability.