Eastern Adriatic Late Middle Paleolithic is relatively well known. On the other hand, Early Upper Paleolithic sites in the same region are scarce, and in particular the sites from Early Aurignacian, which are completely lacking. Sites with stratigraphy encompassing Late Middle Paleolithic and Early Upper Paleolithic that would significantly contribute to better understanding of the Middle to Upper Paleolithic transition have not yet been found. In this paper; we give an overview of the archaeological record of the regional Late Middle and Early Upper Paleolithic from Croatia, Bosnia and Herzegovina, Montenegro and Albania. The information on research of Late Middle Paleolithic sites conducted in different regions of the eastern Adriatic (e.g., Mujina pecina and Velika pecina in Klicevica in Dalmatia, open-air site Campanoz and Romualdova peeina in Atria, Bioee and Crvena stijena in Montenegro) is given. AMS and ESR dates give good temporal frame for Late Middle Paleolithic. Contrary to this, radiocarbon dates for Early Upper Paleolithic are scarce, and were made long time ago, hence bringing into question their reliability as is supported by their very late age for Aurignacian. Only one recent AMS date from Sandalja II could represent real Aurignacian age. According to current data, there is a hiatus of several thousand years between Late Middle and Early Upper Paleolithic in the eastern Adriatic. Here we suggest several potential reasons for such fragmentary record of the Middle to Upper Paleolithic transition in the eastern Adriatic.