The document discusses opportunities and challenges for integrated water resources management in the Bagmati River Basin in Nepal. Key issues include pollution, unplanned urbanization, water scarcity, degradation of cultural sites, riverbank encroachment, sand mining, and overextraction of groundwater. However, opportunities exist through existing acts and regulations, institutions established to manage water resources, tourism potential along the river, public awareness campaigns, and ongoing projects to improve the basin. The document argues for utilizing these opportunities to help address challenges through a integrated river basin management approach.