The document discusses the ecosystem approach in maritime spatial planning. The ecosystem approach focuses on preserving marine ecosystem structure and function, maintaining ecosystem services to support human needs, and providing spatial solutions for human activities that are compatible with achieving good environmental status and allowing ecosystems to adapt to human changes. It then lists questions that the ecosystem approach in maritime spatial planning should seek to answer, such as how best knowledge and practices are being applied, how ecosystem services and alternatives are being included, and how adaptation, participation and coherence across levels are being considered.