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This publication deals with the underlying concepts relating to drainage water management. It first discusses the adequate identification and definition of the problem for the selection and application of a combination of management options. It then presents technical considerations and details on the four groups of drainage management options. The second part of the publication contains the summaries of the case studies from the United States of America, Central Asia, Egypt, India and Pakistan. These case studies represent a cross-section of approaches to agricultural drainage water management. The factors affecting drainage water management include geomorphology, hydrology, climate conditions and the socio-economic and institutional environment.