The Mediterranean area plays a pivotal role within the definition and implementation of regional strategies for integrated coastal zone management (ICZM). Under the umbrella of the Regional Framework Operation BeachMed-e, a research project was carried out in five Mediterranean EU regions (East Macedonia and Thrace in Greece, Lazio, Liguria, and Emilia Romagna in Italy and Languedoc-Roussillon in France), in order to study the different approaches to ICZM that have been applied and also to test new approaches to these regions. The aim of this article is to present and discuss the results of the common surveys conducted in order to investigate the institutional stakeholders’ perception on ICZM in the five Mediterranean regions considered. The results are presented region by region, while comparisons are carried out among regions. Summarizing the results it can be stated that some differences and common problems affecting the coastal decision-makers of the five Mediterranean regions considered were identified. Particularly, stakeholders involved in coastal management generally perceived a lack of collaboration and a poor information exchange in all the regions, resulting sometimes in a lack of awareness on coastal erosion issues.