This document discusses the critical connection between water security and ecosystem services. It begins by introducing the concepts of sustainable development, ecosystem services, and the Millennium Ecosystem Assessment. It then explores the ecosystem approach to water resources management and the role of freshwater resources in supporting human activities and ecosystem functions. The document presents several case studies that demonstrate lessons learned about habitat rehabilitation, pollution control, environmental flows, stakeholder involvement, and integrated watershed management in achieving both water security and sustainable ecosystem services. It concludes by recommending various response options to promote the management of balanced ecosystem services and water security.