Recent floods during the summer of 2010 and the ensuing deaths and destruction has once again highlighted the question of water resources management and inter-provincial differences on the subject in Pakistan. Pakistan seems to be facing the cycles of extra-ordinary dry and wet spells. Drought like conditions prevail for a few years and then floods hit the land leading to severe losses in both cases. The question is being asked that can there be a way to manage the cyclic surpluses and shortages to the advantage of the end users? As the energy costs are shooting through the roof and Pakistan has started facing the worst electricity shortages of its history, the need to generate economical and clean electric power through hydro-electric projects is being emphasized. But the proposed solutions are not without controversy.