This document summarizes the GEF Pacific IWRM Project from 2009-2014 that aimed to improve water resources and wastewater management in Pacific Island countries. It provided context that access to safe drinking water and sanitation is much lower in Pacific SIDS compared to other regions. The project had 4 components: demonstration projects, developing IWRM indicators, policy and institutional reform, and capacity building. It highlights key messages around community involvement and outlines elements needed for integration, capacity building, and sustainable development. The next steps discussed are a new GEF Ridge to Reef Program and Project to continue pioneering integrated approaches across the region.