Dams have made great contributions to human society, facilitating flood control, power generation, shipping, agriculture, and industry. However, the construction of dams greatly impacts downstream ecological environments and nearby marine areas. The present manuscript presents a comprehensive review of the influence of human activities on the environment, especially the effect of dam construction on the ecosystems of river estuaries and nearby marine areas, so as to provide a scientific basis for ecological environment protection. To summarize these impacts, this review used recent studies to comprehensively analyze how dam construction has affected river hydrology, geomorphology, and downstream ecosystems globally. Effects of dams on ecosystems occur through reduced river flow, reduced sediment flux, altered water temperature, changed estuary delta, altered composition and distribution of nutrients, altered structure and distribution of phytoplankton populations, habitat fragmentation, and blocked migration routes in river sections and adjacent seas. Effects of dam construction (especially the Three Gorges Dam) on the Yangtze River were also reviewed. Performing community and mitigation planning before dam construction, exploring new reservoir management strategies (including targeted control of dam storage and flushing sediment operations), banning fishing activities, and removing unnecessary dams (obsolete or small dams) are becoming crucial tools for ecosystem restoration.