As explained in the introductory chapter, three main questions are addressed in this book: (1) do multi-stakeholder platforms (MSPs) make a difference? – in the sense of creating a meaningful change for those represented by them, and successfully co-opting the public, private and civil society sectors? (2) are MSPs compatible with integrated water resource management (IWRM)? – in that the latter emphasises a ‘whole of system’ perspective and the former usually emphasises a more local perspective, and (3) can MSPs be sustainable? – in that many MSP platforms are slow to grow but quick to wither or die.