Compared to the other relevant noise sources such as railways, roads, and airplanes, the regulation regarding port noise is lagging behind. The absence of specific laws is likely one of the main causes of the increasingly high number of complaints reported by the citizens living nearby the ports. At the same time, scientific literature concerning the impact of port noise and its mitigation is not so widespread and only a few studies are available at the moment. However, the volume of maritime traffic has increased in the last years and consequently, Port Authorities are required to assess the impact of port operations on the city soundscape without using specific directives or guidelines. In this context, the INTERREG Maritime programme projects RUMBLE, MON ACUMEN, and REPORT aim to fill this gap, by investigating the state-of-the-art of port noise in the north Tyrrhenian sea and developing helpful instruments. Data were collected via a survey sent to the Port Authorities, local environmental protection agencies and universities involved in the projects. The survey was focused on monitoring systems, previous measurement campaigns, noise maps, and citizens’ complaints already taken. The results confirmed both a lack of awareness among residents and authorities and the absence of actions aimed at reducing port noise. In this framework, the difficulties encountered by the Port Authorities in managing the ports sustainably are highlighted. An underestimation of citizens’ exposure to noise in port areas could be expected.