The Government of Nepal has prepared the National Adaptation Programme of Action (NAPA) to Climate Change through a consultative process. NAPA is a strategic tool to assess climate vulnerability and systematically respond to climate change adaptation issues by developing appropriate adaptation measures. This document sets out the introduction and national setting, the Nepal adaptation programme framework, NAPA preparation processes and the methods and criteria used in prioritizing the proposed interventions, identification of key adaptation needs, lists of priority adaptation actions, and finally conclusions. Out of about 250 adaption options proposed by the Thematic Working Groups, nine integrated projects have been identified as the urgent and immediate national adaptation priority.