This document summarizes discussions from breakout sessions at a conference on managing the Mekong River Basin. The sessions focused on topics related to transboundary water governance, including how to build trust between countries, develop legal agreements, balance national and regional interests, ensure public participation, assess environmental flows, and develop decision support systems. Recommendations included using economic tools to evaluate costs and benefits, creating incentives for cost sharing, and establishing monitoring and evaluation systems to track both environmental and socioeconomic indicators. Challenges with monitoring included establishing meaningful indicators and ensuring sustainability after projects end.