Flooding is the most common natural hazard and third most damaging globally after storms and earthquakes. Anthropogenic climate change is expected to increase flood risk through more frequent heavy precipitation, increased catchment wetness and sea level rise. This paper reviews steps being taken by actors at international, national, regional and community levels to adapt to flood risk from tidal, fluvial, surface and groundwater sources. We refer to existing inventories, national and sectoral adaptation plans, flood inquiries, building and planning codes, city plans, research literature and international policy reviews. We distinguish between the enabling environment for adaptation and specific implementing measures to manage flood risk. Enabling includes routine monitoring, flood forecasting, data exchange, institutional reform, bridging organizations, contingency planning for disasters, insurance and legal incentives to reduce vulnerability. All such activities are ‘low regret’ in that they yield benefits regardless of the climate scenario but are not cost-free. Implementing includes climate safety factors for new build, upgrading resistance and resilience of existing infrastructure, modifying operating rules, development control, flood forecasting, temporary and permanent retreat from hazardous areas, periodic review and adaptive management. We identify evidence of both types of adaptation following the catastrophic 2010/11 flooding in Victoria, Australia. However, significant challenges remain for managing transboundary flood risk (at all scales), protecting existing property at risk from flooding, and ensuring equitable outcomes in terms of risk reduction for all. Adaptive management also raises questions about the wider preparedness of society to systematically monitor and respond to evolving flood risks and vulnerabilities.