The Alicante Declaration is a consensus document that was prepared during an international conference entitled, International Symposium on Groundwater Sustainability that was held in Alicante, Spain, in 2006. Thus, the seven actions of the declaration--Develop more comprehensive water-management, land-use and energy-development strategies that fully recognize groundwater’s important role in the hydrologic cycle; Develop comprehensive understanding of groundwater rights, regulations, policy and uses; Make the maintenance and restoration of hydrologic balance a long-term goal of regional water-management strategies; Improve scientific, engineering and applied technological expertise in developing countries; Establish ongoing coordinated surface water and groundwater monitoring programs;  Develop local institutions to improve sustainable groundwater management; Ensure that citizens recognize groundwater’s essential role in their community and the importance of its responsible use—represent the viewpoints of hundreds of participants from developed and developing countries.  To make such a declaration of real use requires several “next steps”.  These include: 1.Discussing the seven actions more widely in order to ensure that technical and cultural barriers to communication are overcome. 2.  Expanding the actions to contain greater detail in an understandable format—a “bottom’s up” approach—that encourages organizations and countries to embrace and adopt, and 3. Ensure that all actions are implemented together, as part of a mass-balance water management approach that fits the needs of a given people in a given place.  This report describes the national and international efforts that have been taken to move the Alicante Declaration to a plan of action.