The Centre for Aboriginal Health Research and partners held the Consensus Conference on Small Water Systems Management for the Promotion of Indigenous Health, March 21-23, 2010. This three day event brought together community members, researchers, policy makers, and health and water services professionals to discuss pathways to achieving universal safe drinking water in Canada and abroad. Two themes emerged from the discussions as important to addressing safe drinking water in Canada: collaboration across disciplinary boundaries and greater self-determination among First Nations. In the months following the conference, the Centre for Aboriginal Health Research initiated a workshop series exploring economic and social barriers to safe drinking water experienced by First Nations in British Columbia. Working in partnership with six communities, CAHR delivered workshops on topics specific to local needs. The book that follows shares the proceedings of the conference and a report summarizing the process and findings of the workshop series.