The development of lagoon sandy spits is dependent on sediment supply (mainly through longshore transport) and is often related to erosion of updrift beaches under high-angle waves. This paper provides an understanding of the short- to medium-term shoreline evolution of three symmetrical lagoon sandy spits and the related erosion of the adjacent bay beaches of Lagoa dos Patos, Brazil. To do so, two of the most widely used methods to quantify shoreline changes were applied: the transects-from-baseline method and the change polygon method. A historical analysis of the shoreline movement of approximately three decades (1984–2013), was carried out, aiming to track the source of sediments to the spits. Alternate phases of shoreline stability, deposition, and recession (less frequent) in short time intervals (years) showed correlation with the El Niño–Southern Oscillation and Southern Annular Mode indexes. Shoreline stability along beaches in the medium term (60.4% of Arambaré and 73.9% of Graxaim beaches, by the linear regression rate calculation), together with the very low average shoreline change rate of +0.7 m y–1 found using both methods, demonstrates that the sediment supply to the spits has been significantly reduced in the past three decades. Furthermore, the large-scale subaqueous portions of the spits are under wave-induced sedimentary reworking accompanied by the up-building of sandbanks from the submerged bars, followed by its landward migration and merging to the spit's shoreline. These results suggest that the spits of Lagoa dos Patos have their growth limited once the amount of sediment supply has been significantly reduced.