All Small Island Developing States (SIDS) are highly vulnerable to climate change and sea level rise owing partly to their small land masses surrounded by ocean and their location in regions prone to natural disasters. This report outlines adaptation activities currently undertaken in the Pacific island countries. It includes basic outlines of national priority activities implemented or planned, challenges and constraints, as well as particular successes and lessons learned. The purpose of the report is to contextualise the adaptation challenges in the region in order to highlight climate change adaptation efforts (using the Pacific Adaptation to Climate Change (PACC) project as an example) and to note the continuing challenges that the region faces. The report is aimed specifically for a Pacific audience, primarily climate change officials, as well as community and local government actors interested in or active in climate change adaptation.