African cities are at increasing risk for disasters, including floods. Pikine, Senegal—located on the outskirts of the Dakar metropolitan region—has experienced regular floods since 2005 due to a rising water table, dense settlement, and inadequate drainage. The goal of this research was to assess household experiences of floods through in-depth qualitative interviews in one area of Pikine. A total of 44 households were interviewed on the economic and health impacts of flooding and their perceptions of flood mitigation strategies. Our research confirmed that floods create substantial economic and health burdens for families and that infrastructure projects have helped, but not solved, the flooding issues. Our research also had some unexpected findings, particularly relating to concerns over drinking water, land tenure and housing prices, and perception of government intervention.