For thousands of years, the people ofMiddle East and North Africa (MENA) have coped with thechallenges of climate variability by adapting their survivalstrategies to changes in rainfall and temperature.Temperatures are expected to increase, and in most placesless rainfall.is expected. Water availability is expected todecrease, and with a growing population, the alreadywater-scarce regions are not having sufficient supplies toirrigate crops, support industry, or provide drinking water.Low quality urban drainage systems have contributed toflooding in some Arab cities and the threat of more floodingis impetus to finally rebuild infrastructure. In ruralareas, climate change is forcing communities to rethinkgender roles that perpetuate gender inequality. Finally,adaptation governance needs to be improved and implementedthroughout the region. Anticipation of climate change isstimulus for improving interventions, galvanizing support,and improving governance.