Projected change in climate in the coming decades adds a layer of complexity in the search for sustainability. Warming temperatures, rising sea levels, changing precipitation patterns and their impacts on natural and human systems could threaten the attainment of development goals. Many countries in Asia and the Pacific are among the most vulnerable to the impacts of climate change and there is growing recognition that climate change adaptation must be tackled as an integral part of the development process, for example in mainstreaming climate change adaptation into national plans and programmes. The aim of Chap. 6 is to explore linkages between sustainable development and efforts to address climate change in Asia and the Pacific, particularly focussing in two areas of low carbon development (LCD) pathways for the region, and the importance of natural ecosystems in sustaining the delivery of ecosystem services that are essential for climate change adaptation and mitigation. The challenges posed by climate change will be felt in the coming decades in Asia and the Pacific. In parallel, nations in the region will continue to aspire for sustainable development. Policy makers and development workers must find ways to ensure that both these concerns are addressed synergistically while avoiding negative outcomes. One way to mitigate climate change while pursuing sustainable development is through LCD, which will require negotiations across many stakeholders of governments, non-government agencies, industry and broader communities. In Asia and the Pacific natural ecosystems will continue to play a critical role in addressing climate change adaptation and mitigation. Nations in the region will have to find innovative ways to manage and rehabilitate natural ecosystems for a multiplicity of functions and services. This will involve greater collaboration and communication between scientists and policy makers as well as between natural and social scientists. In many developing countries, there is still very limited empirical information and research needs to be ramped up. North-South and South-South partnerships could help fill the gap.