The paper introduces nature-based solutions (NBS) and their application in coastal adaptation management. NBS seek to make use of local natural elements and processes in coastal ecosystems, as much as possible, to harness forces of nature for the benefit of society. We focus on soft sedimentary coasts, like beaches and dunes, salt marshes, seagrass beds and mangroves. By shifting coastal management from conventional ‘Building in Nature’ to ‘Building with Nature’, NBS can be seen as a valuable alternative to the traditional approach, which is based on hydraulic, civil engineered designs. NBS can be applied in diverse situations and at various scales, from small-scale (ecosystem elements, a small pond) to large-scale (entire coastal stretches). The practice of NBS is also valuable for climate change adaptation, when forces of nature will increase. NBS requires a governance setting that makes use of an integrated approach with disciplines of ecology, economy and society working together. But integration is not yet common practise in many countries. We conclude that NBS are a promising alternative to the traditional approach. Because the practise still is relatively young, more field and laboratory projects should be executed, in particular under extreme weather conditions. The future challenge is to build up more stakeholder acceptance and (local) trust in the concept.