Climate change strongly affects mountain tourism activities. Glacier tourism is highly affected by the retreat of glaciers. However, research on the effects and adaptations of glacier tourism to climate change is scarce in Europe. By analysing the glacio-geomorphological literature, semi-structured interviews, and observations at six major Alpine glacier tourism sites, we aim to identify the physical processes that affect glacier tourism in the Alps and how stakeholders perceive and adapt to them. The results reveal that glacier retreat and the associated paraglacial dynamics and permafrost warming strongly affect glacier tourism. Stakeholders perceive six main issues: management, itinerary, infrastructure, attractiveness, safety, and activity. In response, they have been adapting with eight strategies: management change, technical means implementation, mitigation, diversification, access and itinerary maintenance, heritage development, planning, and implementation of transformation projects. These strategies are discussed regarding their relevance to tourism model transition to guarantee future sustainability.