This paper emphasizes the importance of developing and implementing integrated water resource management programs in the Western Asia region. As such, the status of water resources management programs is assessed in reference to the integrative components of water policies and strategies, water legislation and enforcement, water institution framework, and water resource assessment and capacity building. Besides, recommendations relative to the hereby indicated integrative components are proposed where applicable. Development and implementation of an integrated water resources management program is essential for the region to overcome existing programs that are mainly oriented towards demand management and exploitation of groundwater reserves. Such programs would be directed to satisfy national freshwater needs for development and to promote water as an integrated component of social and economic goals as well as ecosystem management.