The aim of this chapter is to provide an overview of cooperation of Turkmenistan with neighboring countries, donor countries, as well as international organizations, including financial institutions. Its core is an analysis of the major drivers of cooperation and an overview about the different types of interactions and relations between Turkmenistan and its international partners. This is not an attempt to evaluate the quality or quantity of Turkmen initiatives or actions and no recommendation was produced. This is an effort to systematize information that is available to the public and to reflect on the experience of the author working in the country and region on water issues.