This paper is a synthetic overview of some of the threats, risks, and integrated water management elements in freshwater ecosystems. The paper provides some discussion of human needs and water conservation issues related to freshwater systems: (1) introduction and background; (2) water basics and natural cycles; (3) freshwater roles in human cultures and civilizations; (4) water as a biosphere cornerstone; (5) climate as a hydrospheric ‘game changer’ from the perspective of freshwater; (6) human-induced stressors’ effects on freshwater ecosystem changes (pollution, habitat fragmentation, etc.); (7) freshwater ecosystems’ biological resources in the context of unsustainable exploitation/overexploitation; (8) invasive species, parasites, and diseases in freshwater systems; (9) freshwater ecosystems’ vegetation; (10) the relationship between human warfare and water. All of these issues and more create an extremely complex matrix of stressors that plays a driving role in changing freshwater ecosystems both qualitatively and quantitatively, as well as their capacity to offer sustainable products and services to human societies. Only internationally integrated policies, strategies, assessment, monitoring, management, protection, and conservation initiatives can diminish and hopefully stop the long-term deterioration of Earth’s freshwater resources and their associated secondary resources.

The inheritance of historic human-induced disruption and the fierceness of its impact change aquatic ecosystems. This work reviews some of the main stressors on freshwater ecosystems, focusing on their effects, threats, risks, protection, conservation, and management elements. An overview is provided on the water protection linked to freshwater stressors: solar ultraviolet radiation, thermal pollution, nanoparticles, radioactive pollution, salinization, nutrients, sedimentation, drought, extreme floods, fragmentation, pesticides, war and terrorism, algal blooms, invasive aquatic plants, riparian vegetation, and invasive aquatic fish. Altogether, these stressors build an exceptionally composite background of stressors that are continuously changing freshwater ecosystems and diminishing or even destroying their capability to create and maintain ongoing natural healthy products and essential services to humans. Environmental and human civilization sustainability cannot exist without the proper management of freshwater ecosystems all over the planet; this specific management is impossible if the widespread studied stressors are not deeply understood structurally and functionally. Without considering each of these stressors and their synergisms, the Earth’s freshwater is doomed in terms of both quantitative and qualitative aspects.