Increasing urbanization and changing climate are two critical stressors that are adversely affecting the biophysical environment of urban areas in the Hindu Kush Himalaya. The book discusses various choices and options from demand management to supply enhancement, understanding ecological footprints of towns to managing water at a bioregional scale. In doing so, it is vital to address issues of equity and empower local institutions in managing water. The focus for the future must be on building urban resilience by strengthening the adaptive capacities of affected communities while also understanding the limits to adaptation.In Focus a book series that showcases the latest accomplishments in water research. Each book focuses on a specialist area with papers from top experts in the field. It aims to be a vehicle for in-depth understanding and inspire further conversations in the sector.