Static water utility infrastructures are increasingly unable to cope with future demands. Climate change, water scarcity, energy costs, population shifts, budget cuts, and stricter legislation also challenge water services. At the same time, the responsibility of governments to ensure high-quality and accessible water through water and wastewater services is non-negotiable. This Mega Trends analysis outlines the innovations in management structures and technologies that have helped to offset the challenges affecting water utility markets in the big 5 countries (France, Germany, Italy, Spain, and the United Kingdom) in Europe. The base year for this service in 2012, and the forecast period is up to 2020.