Data from 41 watercourses commands in Pakistan show that, as expected, farmers in head end reaches of canals receive more canal water than those in tail end reaches. Contrary to conventional wisdom, however, these head end farmers also use more groundwater than those at the tail end. Overall, groundwater plays a more important role in irrigation than surface water, ranging from 65% dependence on pumped water in head end areas to over 90% in tail end areas. This means that groundwater is no longer supplemental to canal water, but is an integral part of the irrigated agricultural environment. However, the cropping choices of farmers appear to reflect the amount of good quality canal water they receive: head end farmers are able to grow more high value basmati rice in the summer and more vegetables in the winter, leaving tail enders to rely on less valuable crops such as fodder and wheat. Tail end areas are not only deprived of their fair share of surface water: they have to pump proportionately more groundwater which shows decreasing quality towards the tail. Typically, head end areas have groundwater with EC values of less than 1 .O dS/m, rising to over 2.0 dS/m in tail end areas. When the quality of both surface and groundwater used by farmers is examined, only the top 40% of the distributary gets water of adequate quality, the next 40% get below average quality, while the tail 20% of farmers irrigate with water that is classified as saline. Because of higher dependence on more expensive groundwater tail enders use less water per unit area, thereby reducing the leaching requirement. The result is a clear increase in soil salinity from head to tail along distributary canals, and there is some evidence of land abandonment in tail end watercourses due to excess salinity. The implications of these results are far reaching. Government policy includes plans to divert significant quantities of fresh canal water to areas underlain by saline groundwater on the basis that farmers already have adapted to pumping fresh groundwater. The results reported suggest that if this policy were implemented, there is a risk that over-dependence on fresh groundwater could lead to an intensification of the rate of soil salinization and deterioration of quality in areas currently classified as fresh groundwater zones. At present, the location and utilization of privately owned shallow tubewells is not monitored, and thus it is not possible for government agencies to determine just how much water of different qualities is being used. Further, canal water deliveries, public deep well monitoring, watercourse monitoring programs, soil salinity measurements, and agricultural performance monitoring are all scattered among different agencies and organizations, making the task of effective conjunctive management of surface and groundwater even more difficult.