The challenges of integrated approaches and equity in water resources management have been well researched. However, a clear division exists between scholars working on equity and those working on integration, and there is remarkably little systematic analysis available that addresses their interlinkages. The divide between these two fields of inquiry has increased over time, and equity is assumed rather than explicitly considered in integrated approaches for water resources management. Historically, global debates on water resources management have focused on questions of distributional equity in canal irrigation systems and access to water. This limited focus on distributional equity was side-lined by neoliberal approaches and subsequent integrated approaches around water resources management tend to emphasize the synergistic aspects and ignore the political trade-offs between equity and efficiency. The interlinkages among equity, sustainability, and integration need deeper and broader interdisciplinary analysis and understanding, as well as new concepts, approaches, and agendas that are better suited to the intertwined complexity of resource degradation.