This paper reviewed the impacts of climate change on the management of the water sector in Malaysia discussing the current status of water resources, water service, and water-related disasters. The implementation of engineering practices was discussed to provide the detailed assessment of climate change impacts, risks, and adaptation for sustainable development. The narrative methods of reviewing the literatures were used to get an understanding on the engineering practices of water infrastructures, implication of the government policies, and several models as the main motivation behind the concept of integrated water resource management to contribute as part of the sustainable development goals to achieve a better and more sustainable future for all. The findings of this review highlighted the impacts of climate change on the rivers, sea, lakes, dams, and groundwater affecting the availability of water for domestic and industrial water supplies, irrigation, hydropower, and fisheries. The impacts of climate change on the water-related disasters have been indicated affecting drought-flood abrupt alternation and water pollution. Challenges of water management practices facing climate change should be aware of the updated intensity-duration-frequency curves, alternative sources of water, effective water demand management, efficiency of irrigation water, inter-basin water transfer, and nonrevenue water. The transferability of this review findings contribute to an engagement with the society and policy makers to mobilize for climate change adaptation in the water sector.