Water sustenance and management are central development challenges facing Pakistan today. This report argues for dramatic changes in policy and approach to enable Pakistan to maintain and build new infrastructure, besides securing the water required for future generations. Focusing on two basic issuesthe countrys major water-related challenges, and ways of addressing themthe report calls for reinvigorated public water policies and institutions to sustain water development and management in the future by: Exploring the evolution of water management in Pakistan Describing past achievements and their relevance in the current context Analyzing existing challenges Suggesting ways of evolving a sustainable water management system The report draws heavily on a set of companion reports by Pakistan water experts and policy analysts. These reports are presented in the accompanying CD and provide in-depth analyses of: The interface between water and agriculture, energy, environment, growth, and poverty Drinking water, sanitation, drainage and salinity, flood, dams, groundwater, and water balance management Water-related rights and entitlements, reforms, and resources and institutions.