Coral reef degradation increases coral interactions with filamentous turf algae (FTA) and macroalgae, which may result in chronic stress for the corals. We evaluated the effects of short (2.5 month) and long (10 month) periods of FTA removal on tissue thickness (TT), zooxanthellae density (ZD), mitotic index (MI), and concentration of chlorophyll a (Chl a) in Montastraea annularis at the beginning and end of gametogenesis. Ramets (individual lobes within a colony) consistently surrounded by FTA and ramets surrounded by crustose coralline algae (CCA) were used as controls. FTA removal reduced coral stress, indicated by increased TT and ZD and lower MI. The measured effects were similar in magnitude for the short and long periods of algal removal. Ramets were more stressed at the end of gametogenesis compared with the beginning, with lower ZD and Chl a cm⁻², and higher MI. However, it was not possible to distinguish the stress caused by the presence of FTA from that caused by seasonal changes in seawater temperature. Ramets surrounded by CCA showed less stress in comparison with ramets surrounded by FTA: with higher TT, Chl a cm⁻² and ZD, and lower MI values. Coral responses indicated that ramets with FTA suffered the most deleterious effects and contrasted with those measured in ramets surrounded by CCA. According to published studies and our observations, there could be at least six mechanisms associated to FTA in the stress caused to M. annularis by FTA. Owing to the high cover of FTA (in contrast to macroalgae and CCA) in the Caribbean, the chronic stress, the overgrowth and mortality that this functional algal group can cause on M. annularis species complex, a further decline of this important reef-building coral in the Caribbean is expected.