The World Bank Water Global Practice,under the WSS GSG Utility Turnaround thematic area, hasimplemented the Global Study on WSS Utility Aggregation toprovide evidence-based guidance to policy makers andpractitioners regarding when, why, and how water andsanitation utilities can work together, or aggregate, tosuccessfully deliver specific policy outcomes, such asbetter services or lower costs. Aggregation has beenregarded as an opportunity to improve cost efficiency andperformance of service delivery through economies-of-scaleand cost-sharing, as well as enhanced human capacity.However, the study shows that successful aggregation—wherethe aggregated service provider performs significantlybetter than the previously disaggregated entities regardingthe intended purpose, without unreasonable deterioration ofother performance dimensions—is not always guaranteed. Thiswork presents and reviews global evidence, analyzes specificaggregation case studies, and identifies the keycharacteristics that successful aggregations have in common,depending on their purpose and the context in which theyoccur. This knowledge brief summarizes the study outcomes,which are detailed further in the main report, JoiningForces for Better Services? When, Why, and How Water andSanitation Utilities Can Benefit from Working Together. Theaccompanying toolkit (accessible atwww.worldbank.org/water/aggregationtoolkit), offers abroader set of resources to inform aggregation processes.