Coral mortality due to climate-associated stress is likely to increase as the oceans get warmer and more acidic. Coral bleaching and an increase in infectious disease are linked to above average sea surface temperatures. Despite the uncertain future for corals, recent studies have revealed physiological mechanisms that improve coral resilience to the effects of climate change. Some taxa of bleached corals can increase heterotrophic food intake and exchange symbionts for more thermally tolerant clades; this plasticity can increase the probability of surviving lethal thermal stress. Corals can fight invading pathogens with a suite of innate immune responses that slow and even arrest pathogen growth and reduce further tissue damage. Several of these responses, such as the melanin cascade, circulating amoebocytes and antioxidants, are induced in coral hosts during pathogen invasion or disease. Some components of immunity show thermal resilience and are enhanced during temperature stress and even in bleached corals. These examples suggest some plasticity and resilience to cope with environmental change and even the potential for evolution of resistance to disease. However, there is huge variability in responses among coral species, and the rate of climate change is projected to be so rapid that only extremely hardy taxa are likely to survive the projected changes in climate stressors.