The second Resilience Roundtable event was held at the Old Dominion University in Norfolk, VA, on April 11 & 12, 2019. The roundtable discussions focused on the following themes of: 1) Changing Ecosystems; 2) Climate and Health; 3) Policy and Politics of Resilience; 4) Flooding and the Built Environment; and 5) Emergency Management and Adaptation Equity. In addition, the Virginia Sea Grant Director Troy Hartley gave a keynote address about Team Science to encourage thinking about team building while tackling coastal resilience issues. Other presentations covered topics ranging from urban flooding and emergency response to the Virginia Department of Health's efforts to address the public health impacts of climate change that are emerging as a priority for the Commonwealth.