Water scarcity is a global issue, and with the world population projected to reach 9-10 billion by the year 2050 and changing climate, it will become more serious. The food supply would also be adversely affected by the shortage of water. Ensuring food security for both present and future generations depends on sustainable water management and advancing agricultural productivity through technologies that optimize water use amidst climate change. Therefore, there is an urgent need to improve crop production and water use efficiency, especially in arid and semi-arid regions. In Pakistan's Sindh province, water scarcity presents a significant challenge to agriculture, emphasizing the need for the sustainable management of water resources. The drip irrigation system can save approximately 70-80% of irrigation water compared to traditional methods; however, its acceptance is low in the province despite government interventions to address water scarcity issues and promote sustainable food production. This study explores farmers' perceptions and the factors influencing the non-adoption of drip irrigation. Understanding these factors will guide strategies to enhance the acceptance of drip irrigation, thereby improving agricultural production and water conservation. The adoption of drip irrigation by farmers was influenced by factors such as education level, technical knowledge, labor demands, access to extension services, and availability of irrigation water sources. It was observed that establishing technical backups, raising farmers' awareness of water's value, and shifting their preferences from short-term to long-term gains are essential for efficient and sustainable use of available water resources. The findings of this study will significantly contribute to the capacity building of farmers' organizations and extension services, promoting farmer-to-farmer learning and enhancing sustainable agricultural practices.