Smart water management is acknowledged as a key component of the solutions to address climate change impact and secure water resources availabilities in the context of Sustainable Development Goals. Over the last decades, digital solutions have become an essential part of water management. Numerous initiatives have been developed to explore hybrid and new AI modeling with concrete approaches such as digital twins. The ambition is to provide water managers with tailored IT solutions that can be implemented in their current management system. These developments raise a wide range of questions in terms of sensors’ approach, interoperable open data models, reference architecture, and cybersecurity that are presented in this chapter. Additionally, IT innovation, as groundbreaking as it may be, requires additional dimensions such as governance, capacity building, and economics to ensure its adoption by water managers. These aspects are also presented in the latest sections of this chapter.