Adaptive Integrated Water Resources Management (IWRM) options related to the impacts of climate change in the twinning basins of the Upper Danube River Basin (UDRB) and the Upper Brahmaputra River Basin (UBRB) are developed based on the results obtained in the different work packages of the BRAHMATWINN project. They have been described and discussed in Chapter 2 till Chapter 9 and the paper is referring to and is integrating these findings with respect to their application and interpretation for the development of adaptive IWRM options addressing impacts of climate change in river basins. The data and information related to the results discussed in Chapter 2 till 8 have been input to the RBIS as a central component of the IWRMS (Chapter 9). Meanwhile the UDRB has been analysed with respect to IWRM and climate change impacts by various projects, i.e. the GLOWA-Danube BMBF funded project (GLOWA Danube, 2009; Mauser and Ludwig, 2002) the UBRB has not been studied so far in a similar way as it was done in the BRAHMATWINN project. Therefore the IWRM option development is focussing on the UBRB but the methodology presented can be applied for the UDRB and other river basins as well. Data presented and analysed in this chapter have been elaborated by the BRAHMATWINN project partners and are published in the project deliverable reports available from the project homepage http://www.brahmatwinn.uni-jena.de/index.php?id=5311&L=2.