In the Mediterranean region, the development of appropriate water pricing systems, aimed at promoting efficiency and sustainability of water management as well as the cost of water services offers high potentiality to overcome water scarcity and quality constraints. However, a number of other considerations have to be taken into account, and it must be emphasized that water pricing alone is not enough. There needs to be a blend of other appropriate policies and actions: economic, financial, management process and integration, including the prerequisite information and the promotion of public participation.