Based on the field surveys and repeated cross-profile observations combined with the comparison of many years’ topographic maps, this study shows the spatial variability and varying patterns of coastal erosion along the west coast of the Taiwan Strait. Regional differentiation in the Meso-Cenozoic coastal tectonics determined the irregular coastline and geological background for large-scale coastal erosion distribution. The intensity of coastal erosion on the west side of the Taiwan Strait is mild in the northern region, severe in the central region and modest in the southern region. The beaches along the coast are mainly backed by dunes, seawalls or cliffs. The dunes and beaches show periodic erosion and recovery along the coast adjacent to river mouths, while persistent retreat of frontal dunes and beaches tends to occur in other areas. The beach erosion occurs mainly in front of seawalls. Due to the low strength of the unconsolidated sediment the soft cliffs suffer the severest coastline recession. Sea level rise and river sediment discharge reduction are main causes of coastal erosion. Storm surge is common in the studied area and plays an important role in the progress of coastal erosion. Human activities including coastal constructions and sand mining also tend to interfere strongly with the balance of sediment budget in some coastal cells.