A survey of water governance in 48 Asia Pacific countries found that while most countries have overarching water policy frameworks and coordination mechanisms in place, limited implementation of water policies occurs due to gaps in human resources and funding. Few countries have dedicated policies for water-related disasters, water quality preservation, or use economic instruments to manage water resources. Data and monitoring are also insufficient, hampering evaluation of water policies. Key recommendations include strengthening implementation and monitoring of water policies, adopting instruments to manage trade-offs, addressing capacity and data gaps, and further developing stakeholder engagement and integrity practices.