There is a growing need for urban water managers to take a more holistic view of their water resource systems as population growth, urbanization, and current operations put different stresses on the environment and urban infrastructure. Total Water Management (TWM) is an approach that examines urban water systems in a more interconnected manner, focusing on reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving environmental goals through multi-purpose, multi-benefit infrastructure. This study documents the benefits of TWM to water management decision-makers and can be used to support the development of management techniques that could be adopted in order to improve urban systems. This study includes a comprehensive literature review that summarizes TWM principles and real world applications in the United States and abroad. The literature review was organized into different regions of the country in order to reflect geographic water management drivers and challenges.