The survey identified the most pressing needs of GEF International Waters projects related to 31 issues and 60 integrated water resource management methods. The top issues were loss of ecosystems/ecotones, overexploitation of fisheries and living resources, inappropriate harvesting practices, and habitat destruction. The most needed methods were public participation, awareness raising, knowledge sharing, development of indicators, and increasing participation and efficiency of use. Meeting these needs will require regional learning exchanges, common curricula, accessing co-financing, communication strategies, and web-based networking of projects and their products.