Deltas have played a significant role in the growth of human civilization because of their unique economic and ecological importance. However, deltas are becoming increasingly vulnerable because of the impact of intensive human developmental activities, high population and urban growth, subsidence, climate change, and the associated rise in sea level. The trapping of sediments by dams is another major threat to the long-term stability and sustainability of deltas. The emergence and global acceptance of the concept of sustainable development in the 1980s led to the advent of several multidisciplinary and applied fields of research, including environmental science, environmental geology, and sustainability science. Environmental geology focuses on the application of geologic knowledge and principles to broad-ranging environmental and socioeconomic issues, including the specific problems confronting deltas. The key environmental geologic challenges in deltas (especially urban delta areas) are: increasing exposure and vulnerability to geologic hazards (flooding, cyclones, etc.), rise in sea level, decreasing sediment load supply, contamination of soil and water resources, provision of adequate drinking water, and safe waste disposal. The application of geologic knowledge and principles to these challenges requires consideration of the critical geologic controls, such as the geological history, stratigraphy, depositional environment, and the properties of the alluvial sediments. Until recently, most of the traditional engineered solutions in the management of deltas were designed to keep out water (fighting nature), typically without adequate geological/hydrological input, rather than building with nature. Recent innovative approaches to delta management involve a paradigm shift from the traditional approach to a more integrated, holistic, adaptive, and ecologically based philosophy that incorporates some critical geological and hydrological perspectives, for instance, widening and deepening rivers and flood plains as well as constructing secondary channels (i.e., making more room for water). A key challenge, however, is the establishment of a close and functional communication between environmental geologists and all other stakeholders involved in delta management. In addition, there is growing global consensus regarding the need for international cooperation that cuts across disciplines, sectors, and regions in addressing the challenges facing deltas. Integrating good policy and governance is also essential.