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Simple Summary: In the near future, several areas of the world will be affected by climate change, reducing their water availability. More than 90% of goats are found in Asia and Africa, and it is believed that these animals would be more resilient to climate change. Their milk is a good source of nutrients, contributing to the food security of the poorest and rural communities. Considering that milk is mostly water, it is essential to understand how the goat mammary gland can respond at a productive, cellular, hormonal, and blood level when faced with reduced water intake scenarios, as well as analyzing prospects in terms of more sustainable goat milk production. Due to climate change, diverse territories of the planet will suffer from water restrictions. Goats are perceived as the most resilient ruminants in this scenario. So, various studies have focused on describing how a lower water intake influences milk production, especially in breeds adapted to desert environments. In water-stress situations, goats lose up to 32% of their body weight (BW), the rate of passage is reduced, and the digestibility of the feed increases. When goats consume water again, the rumen prevents hemolysis and osmotic shock from occurring. Regarding milk production, the response varies depending on the breed and the level of water restriction, maintaining the milk volume or reducing it by up to 41%. Systemically, it decreases the urinary volume and glomerular filtration rate, increasing blood osmolality and the vasopressin (ADH) concentration. Studies are scarce regarding changes in blood flow to the mammary gland, but there would be a reduction in blood flow velocity of up to 40% without changing blood pressure. New studies must be undertaken to determine which breeds or crosses are the best adapted to changing environmental conditions and to improve our understanding of the changes that occur at the morphophysiological level of the caprine mammary gland. [ABSTRACT FROM AUTHOR]