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Global changes impact the human-environment relationship, and, in particular, they affect the provision of ecosystem services. Mountain ecosystems provide a wide range of such services, but they are highly sensitive and vulnerable to change due to various human pressures and natural processes. We conducted a literature survey that focused on two main issues. The first was the identification of quantitative methods aimed at assessing the impact of land use changes in mountain regions and the related ecosystem services. The second was the analysis of the extent to which the outcomes of these assessments are useful and transferable to stakeholders. We selected papers through a keyword-driven search of the ISI Web of Knowledge and other international databases. The keywords used for the search were mountain land use change and ecosystem service. Quantitative approaches to ecosystem service assessment rely on suitable indicators, therefore land use/land cover can be used as an appropriate proxy. Landscape metrics are a powerful analytical tool; their use can increase the accuracy of assessments and facilitate the mitigation of specific phenomena, such as fragmentation or the reduction of core habitat areas. Mapping is essential: it is the basis for spatial analyzes and eases the interactions between stakeholders. Land use/land cover change is a temporal process, so both past and future approaches are meaningful. It is necessary to enhance information transfer from theory to practice. Increasing stakeholder awareness can lead to suitable management solutions, and, reciprocally, stakeholder feedback can help improve current assessment methodologies and contribute to developing new tools that are suitable for specific problems.