The description of sound as a form of energetic pollutant is very complex as is also its impact on aquatic life. Human activities causing continuous and implosive underwater noise, such as marine traffic, maintenance of ships, coastal tourism, marine research, military, offshore energy platforms, generation of ocean energies and construction operations are expected to increase. The paper analyses current approach to minimise the impact of underwater noise and limit its emissions, examines regulatory approach and discusses the possibilities to control this type of pollution in order to ensure the preservation of natural underwater soundscape. The timely implementation and further development of the European Marine Strategy Framework Directive and its provisions related to underwater noise is of exceptional importance for the Adriatic Sea, which is facing increasing pressure from various industries generating underwater noise.