This chapter, focuses on reviewing challenges to a secure water future for the United States and considers a number of options available, that when used together, will improve the outlook for water availability and security into the future. Topics covered include a reconsideration of water’s role in sustainable development, the role of water conservation and pollution prevention in water security, federal initiatives for the protection of water infrastructure from malicious attacks and growing natural disasters, and the concept of “effective utility management” as applied to future water security. An applications section provides three Illustrative Examples related to future water security in the United States.