The U.S. Department of Energy’s (DOE’s) Pacific Northwest National Laboratory (PNNL) has been tasked by DOE’s Office of International Affairs to assess the use of water resources for power generation needs on Lake Gazivode/Ujmani in Kosovo, and provide recommendations for improved coordination and efficiency. Lake Gazivode/Ujmani is a 15-mile long man-made reservoir that straddles the Serbian-Kosovo border. Lake Gazivode/Ujmani is currently managed without a transboundary cooperation agreement. Kosovo is profoundly dependent on the lake’s waters, which provide one-third of Kosovo’s drinking water and cool two coal plants that provide 95 percent of Kosovo’s energy production. After conducting a scoping visit to Pristina, Kosovo, Lake Gazivode/Ujmani, and Belgrade, Serbia, in October 2020, PNNL staff compiled hydrometeorological, water management operations, and power grid operations data. They analyzed the data and existing literature to provide third-party observations about and recommendations for the use of the lake. Their recommendations aim to promote regional water and energy security.