Coastal habitats are situated on the border between land and sea, and ecosystem structure and functioning is influenced by both marine and terrestrial processes. Despite this, most scientific studies and monitoring are conducted either with a terrestrial or an aquatic focus. To address issues concerning climate change impacts in coastal areas, a cross-ecosystem approach is necessary. Since habitats along the Baltic coastlines vary in hydrology, natural geography, and ecology, climate change projections for Baltic shore ecosystems are bound to be highly speculative. Societal responses to climate change in the Baltic coastal ecosystems should have an ecosystem approach and match the biophysical realities of the Baltic Sea area. Knowledge about ecosystem processes and their responses to a changing climate should be integrated within the decision process, both locally and nationally, in order to increase the awareness of, and to prepare for climate change impacts in coastal areas of the Baltic Sea.