This article provides a comprehensive review and best practices for numerically simulating hydraulic flushing for reservoir sediment management. Three sediment flushing types are discussed: drawdown flushing, pressure flushing, and turbidity current venting. The need for reservoir sediment management and the current practices are reviewed. Different hydraulic drawdown types are described in terms of the basic physical processes involved as well as the empirical/analytical assessment tools that may be used. The primary focus has been on the numerical modeling of various hydraulic flushing options. Three model categories are reviewed: one-dimensional (1D), two-dimensional (2D) depth-averaged or layer-averaged, and three-dimensional (3D) computational fluid dynamics (CFD) models. General guidelines are provided on how to select a proper model given the characteristics of the reservoir and the flushing method, as well as specific guidelines for modeling. Case studies are also presented to illustrate the guidelines.