In recent years, satellite communication systems (SCSs) have rapidly developed in terms of their role and capabilities, promoted by advancements in space launch technologies. However, this rapid development has also led to the emergence of significant security vulnerabilities, demonstrated through real-world targeted attacks such as AcidRain and AcidPour that demand immediate attention from the security community. In response, various countermeasures, encompassing both technological and policy-based approaches, have been proposed to mitigate these threats. However, the multitude and diversity of these proposals make their comparison complex, requiring a systemized view of the landscape. In this paper, we systematically categorize and analyze both attacks and defenses within the framework of confidentiality, integrity, and availability, focusing on specific threats that pose substantial risks to SCSs. Furthermore, we evaluate existing countermeasures against potential threats in SCS environments and offer insights into the security policies of different nations, recognizing the strategic importance of satellite communications as a national asset. Finally, we present prospective security challenges and solutions for future SCSs, including full quantum communication, AI-integrated SCSs, and standardized protocols for the next generation of terrestrial–space communication.