This publication contains guidelines to sustain irrigated agriculture and protect water resources from the negative impacts of agricultural drainage water disposal. Using case studies from Central Asia, Egypt, India, Pakistan and the US, this study highlights four broad groups of drainage water management options and provides information to enable assessment of their impact and contribution towards development goals and to facilitate the preparation of drainage water management plans and designs. The options are: water conservation, drainage water re-use, drainage water disposal and drainage water treatment. The full texts of the case studies can be found on the attached CD-ROM.