Growing demands for water in many parts of the nation are fueling the search for new approaches to sustainable water management, including how best to store water. Society has historically relied on dams and reservoirs, but problems such as high evaporation rates and a lack of suitable land for dam construction are driving interest in the prospect of storing water underground. Managed underground storage should be considered a valuable tool in a water manager’s portfolio, although it poses its own unique challenges that need to be addressed through research and regulatory measures.