Adaptation is becoming embedded in some planning processes, with more limited implementation of responses (high confidence). Engineered and technological options are commonly implemented adaptive responses, often integrated within existing programs such as disaster risk management and water management. There is increasing recognition of the value of social, institutional, and ecosystem-based measures and of the extent of constraints to adaptation. Adaptation options adopted to date continue to emphasize incremental adjustments and co- benefits and are starting to emphasize flexibility and learning (medium evidence, medium agreement). Most assessments of adaptation have been restricted to impacts, vulnerability, and adaptation planning, with very few assessing the processes of implementation or the effects of adaptation actions (medium evidence, high agreement).17