Changes in coastal topography can affect the ecological environment and marine industries. In this study, we analyzed the patterns and causes of changes in shoreline and undersea topography in the Nakdong River estuary in the southeast of Republic of Korea using depth and shoreline surveys of the estuary, as well as data on discharge, suspended sediments, and precipitation in the Nakdong River basin. The results showed that erosion and sedimentation occurred repeatedly owing to complex factors such as the discharge of the estuary and invasion by open sea waves. However, no clear unilateral trend was observed. Unlike previous survey data, a large amount of erosion occurred in the second half of 2020. Previously, sedimentation was the main process, but erosion occurred rapidly, which was observed in the summer of 2020 when the erosion was three times higher than that in other periods owing to the severe rainy season and torrential rains for over a month. In addition, regarding the flow rate and force of the river water outflow, the amount of discharge increased rapidly, causing erosion. Moreover, a strong typhoon in the summer of 2020 affected the topography of the estuary.