This document discusses changes in maritime freight transport and their impacts on ports. It notes that containerization, larger vessels, and expanded hinterlands have increased competition between ports by making them closer substitutes. Global supply chains and the rise of transshipment hubs have further reduced ports' power over shippers and shipping companies. While these changes have driven efficiency, they have also concentrated market power among fewer players. This raises issues around competition, pollution, congestion, and infrastructure that require policy attention at national or international levels.