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Seawater desalination has become an accessible option for augmenting freshwater supplies worldwide. In the countries of the Gulf Cooperation Council (GCC), it has been practiced for decades as the main source for domestic water use. Sustainable desalination requires addressing environmental impacts including damage to ecosystems from the high volumes of brine in the Gulf. This paper examines challenges related to environmental regulation of brine management in the Arab Gulf countries using the example of Qatar. It analyzes the brine challenge through infrastructure planning policies and stakeholders’ perceptions. The brine issue has been identified as a major environmental concern that requires action through discharge infrastructure, brine management technologies, and regulatory approaches based on quality thresholds and monitoring systems. Although there is a high level of agreement on the solvability of the brine issue, there are limitations with regard to the high reliance on desalination rendered through large-scale infrastructure. These limitations necessitate complementary water supply infrastructure for storage or the development of other sources through water reuse and storage. While water security considerations require prioritization of protection and supply continuity through desalination, incremental change through a stepwise dual approach of brine management and regulation is still possible.