Given the multidimensional nature of climate change issues, decision-making in climate change adaptation is a complex process, and suitable decision support methods are needed. The aim of this paper was to rank saltwater intrusion adaptation options for farmers in two provinces in the central coastal region of Vietnam using the analytical hierarchy process method. Data for the analysis were obtained through a literature review, field observations, and face-to-face interviews and focus group discussions with key informants. We combined two ways of weighting to arrive at final scores for each of the identified adaptation options: prioritizing criteria and subcriteria by pairwise comparison and rating the different alternatives with respect to the lowest level subcriteria. In doing so, we also investigated differences in the priority sets and final rankings of the analytical hierarchy process applications in both provinces. In our study, we worked with group consensus scores on both the criteria weights and the ratings for the different adaptation options for each of the criteria. Our results revealed that “sustainability and equity” was the most important criteria, while coherence ranked lowest. The final ranking of adaptation options differed between both provinces due to differences in the geographical and socioeconomic characteristics of the study areas. The consistency ratios for all pairwise matrices were less than 0.1, indicating that judgments from the focus group discussions with respect to the different criteria were highly consistent. A sensitivity analysis of our results confirmed the robustness of the rankings in our research.