The Spanish coasts are subject to various risks associated with global change, such as the regression of the coastline, degradation of beaches, flooding in coastal areas (saline intrusions), or an increase in the frequency of extreme weather events. Social, ecological, geological, and physical aspects shape the coasts as we know them today and are the basis for integrated management. Early adaptation of coastal systems to risk forecasts would allow Spain to be better prepared for the expected sea level changes predicted by the International Panel on Climate Change (IPCC). Nature-based solutions allow for the stabilisation and protection of the coastline. The relationships between coastal infrastructure, tourism, urban planning, and associated ecosystems are particularly interesting. Some examples and practices have proven successful in promoting coastal areas of high social, economic, and ecological value.