This study documented and diagnosed the status and problems of coastal dredging and offshore disposal of dredged sediments in South Korea to improve assessment procedures for marine environmental impacts and develop effective management systems. A total of $729({ imes}10^6)m^3$ of coastal sediment was dredged in the harbors during the period of 2001-2008. Most of dredged sediment was disposed to the land dumping sites whereas ocean disposal accounted for less than 5%. Ocean disposal areas were especially concentrated to the exclusive economic zone (EEZ) in the southeast of Busan, which is not only an important fishing area for fishermen, but also considered to be spawning and nursery ground for some commercial fish species. To minimize negative impacts of dredging and ocean disposal of coastal sediment on marine ecosystem and potential strife among coastal users, we suggest 1) in development projects involving ocean disposal, it should be mandatory to propose careful reuse plans in the land, and 2) guidelines of environmental assessment and consequence management programs should be developed and implemented.