This report from ISET-Nepal describes how agricultural production in urban and peri-urban areas of inland city, Kathmandu, has become unable to meet food security demands due to rapid urban growth and decreased water availability and water pollution. The report describes the physical, environmental and social vulnerabilities of the food system and populations of the Kathmandu valley. It predicts that continued urbanisation combined with climate change risks including erratic rainfall, rise in temperature and drought, will reduce food security by affecting the production of crops, livelihoods and the transportation of food to the most vulnerable communities, especially in times of extreme weather events like landslides. ISET propose a set of recommendations to adapt and build resilience to the peri-urban food system, which include: understanding the way vulnerabilities are interlinked and can be addressed through an iterative process of shared learning between various stakeholders; planting trees around farming lots to reduce heat island effects; creating new, more resilient systems of food transport; promote capacity development in innovative farming methods, or skills for new livelihood sources; composting of food waste; governance reforms to create desire for, and accountability for resilience measures.