Anthropogenic activities primarily impact coasts by reducing sediment inputs, altering sediment transport processes, and accelerating sediment losses to the offshore. These activities include: sand and gravel extraction, navigation and shore protection works; non-structural shoreline management strategies such as beach nourishment, sand by-passing and beach scraping, dams and flood control works; channel and inlet dredging; subsidence caused by fluid extraction and reduction of carbonate beach material. Although many of these activities have improved the quality of life, they also have had unintended effects on the coast. The issues that arise from human alterations of the coast are common to many coastal regions around the world; this paper draws from several areas of the United States to present an overview and provisional assessment of the economic consequences of anthropogenic activities along the Pacific coast.