This chapter is aimed at contributing to the debate on water security in a more sustainable world, especially in drylands or in regions with irregular rainfall. In this context, ancient practices and technologies are analyzed, some of them no longer used, but could contribute to facing contemporary environmental challenges regarding management perspectives in present situations of water scarcity. Several examples of water supply infrastructure around the world are presented, such as reservoirs and aqueducts, analyzing the current viability of each one, considering the magnitude of the infrastructure, the distance to the source, and the type of water source. For that reason a concept map to classify ancient water systems into urban systems was utilized. Additionally, with a view to ensuring