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Kochi, a vulnerable estuarine city in India, faces climate change challenges, particularly in its Water, Sanitation, and Hygiene (WaSH) infrastructure. Climate-resilient WaSH infrastructure development is necessary to mitigate impacts and provide essential services. Identifying risk clusters, implementing resilient projects, and integrating adaptation into policies are crucial. By adopting a multi-sectoral approach and prioritizing climate change adaptation, Kochi can enhance resilience, protect public health, and ensure access to clean water, waste management, and sanitation services for its residents majorly on low-lying areas. These recommendations aim to achieve lasting outcomes in the Climate Resilient Urban Sanitation in Kochi, Kerala.