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SDGs offer a new opportunity to operationalize integrated approaches of water resources management. The framing of SDGs and complex interlinkages also support an integrated framing to capitalize on synergies while avoiding negative interactions during the implementation. This chapter examined the relevancy of integrated approaches for co‐implementing water‐related SDG targets by highlighting the process of SDG formations and its governance, the nature of interlinkages with water and highlighting a need for an integrated approach. This chapter elaborates how an integrated river basin approach can offer a practical way to operationalize integrated approach of water‐related SDGs implementation by describing an example of the Lower Mekong Basin. The key recommendation from the chapter is that a river basin approach could provide a leverage for accelerating implementation of SDGs and a river basin strategy for SDGs implementation is highly desirable to address the emerging water resources management challenges. However, concerted efforts and policy changes will be necessary to reorient the focus on river basin approach (including transboundary basins) as a unit for SDGs implementation.