Conclusions of this case study on Ramallah imply that an effective water management strategy will have a dual intent: incorporate "trickle-up" municipal level water management strategies and integrate conflict reduction measures. This study finds that Ramallah's cooperation with the Palestinian Authority and environmental Non-governmental organizations has a strong influence on water management and water conflict alleviation. Palestinian municipal and regional water management processes, can potentially contribute to effective water management and water conflict reduction between Israelis and Palestinians. The study focuses on Ramallah, a centrally located, mid-sized town in the West Bank. This research uses interviews of Palestinian water managers and researchers, gathered in the West Bank throughout the summer of 1999, as well as secondary sources.