This publication presents a synthesis of technical studies conducted as part of the Medium Size Project (MSP)1 “Identification and Implementation of Adaptation Response Measures in the Drini – Mati River Deltas (DMRD)”, financed by Global Environment Fund (GEF), Albanian Government and United Nations Development Program (UNDP). Both non-technical and technical summaries are presented along with a synopsis of the adaptation measures that have emerged from the project. Institutional and tools and methods using the concept of Integrated Coastal Zone Management (ICZM) are also presented.