This study aims to deepen our understanding about local climate change trends, adaptation approaches and strategies of the government, NGOs, and other actors, and emerging adaptation practices in key impacted sectors in the Lower Teesta basin in Bangladesh. This region, regarded as one of the important food baskets of the country, has been experiencing varied changes in climate variability (including temperature rises, heat stress, low and erratic rainfall, and prolonged droughts), falling groundwater levels, and climatic extremes such as frequent and devastating floods, riverbank erosion, and thunderstorms. These climate change and other stressors are hurting sectors such as agriculture, water, sanitation and health, fisheries, food security, regional infrastructure, housing, and the livelihoods of common people in general.