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The evolution of coastal and transitional environments depends upon the interplay of human activities and natural drivers, two factors that are strongly connected and many times conflicting. The urge for efficient tools for characterising and predicting the behaviour of such systems is nowadays particularly pressing, especially under the effects of a changing climate, and requires a deeper understanding of the connections among different drivers and different scales. To this aim, the present paper reviews the results of a set of interdisciplinary and coordinated experiences carried out in the Adriatic Sea (north-eastern Mediterranean region), discussing state-of-the art methods for coastal dynamics assessment and monitoring, and suggests strategies towards a more efficient coastal management. Coupled with detailed geomorphological information, the methodologies currently available for evaluating the different components of relative sea level rise facilitate a first identification of the flooding hazard in coastal areas, providing a fundamental element for the prioritization and identification of the sustainability of possible interventions and policies. In addition, hydro- and morpho-dynamic models are achieving significant advances in terms of spatial resolution and physical insight, also in a climatological context, improving the description of the interactions between meteo-oceanographic processes at the regional scale to coastal dynamics at the local scale. We point out that a coordinated use of the described tools should be promptly promoted in the design of survey and monitoring activities as well as in the exploitation of already collected data. Moreover, expected benefits from this strategy include the production of services and infrastructures for coastal protection with a focus on short-term forecast and rapid response, enabling the implementation of an event-oriented sampling strategy.