The potential impacts of climate change on coastal zones combined with the ever increasing number of people living in these areas, motivate a more long-term perspective in coastal management. To explore whether such a perspective raises the need for developing coastal management strategies at larger spatial scales, this paper presents a case study for the dune-protected Holland coast. Long-term (200 years) coastal management strategies are set-up at different levels of spatial aggregation, accounting for specific characteristics of the coast itself and for types of land use in the hinterland. Using a combination of multi-criteria analysis and cost-benefit analysis the new coastal management strategies are compared to the long-term continuation of present coastal management practice. It appears that the large uncertainties that inevitably accompany a long-term perspective do not preclude the comparison of long-term coastal management strategies. Additionally, it appears that a long-term perspective favors solutions for coastal defense enhancement that are more spatially extended and alongshore uniform than those emerging from continuing today's coastal management practice for two centuries.