Conjunctive water use refers to simultaneous use of surface water and groundwater to meet crop demand. This Note concludes that to optimize conjunctive use of water, the best way forward is to concentrate on capacity building of irrigation system managers to improve system management and reshape hydraulic infrastructure of large and small-surface systems. To sustain groundwater use in tube well-irrigated areas, enhancing recharge from precipitation and surface water imports is necessary. None of these improvements can be made without the proper institutional and organizational development, including investment in the capacities of local governments to lead on participatory groundwater management and integrated water resources management.