Hydrological understanding of the Latin American páramos improved dramatically over the last three decades, being the result of a good interaction between scientists, local and regional stakeholders. In addition, two tendencies are noticeable in the developed research structure, one regional with more non-scientific actors and decision-makers involved and a second in small densely monitored experimental sites where mostly-scientist and academics are involved. Furthermore, international cooperation initiatives succeeded in creating a community-based strong connection between the scientific and operational communities. Within these initiatives, multidisciplinary research projects used innovative approaches to collect and process information, and to generate knowledge at regional level. Others in experimental sites generated strong hydrological knowledge with great detail and high resolution. Ideally, this knowledge could be regionalized to non-monitored sites to massify the benefit. The progress of eco-hydrological and meteorological research in páramos, once one of the least studied regions in the world, is a regional and global reference. We are convinced that the rapid reaction and increased interaction of the scientific community and decision-makers have been responsible for the generation of long-needed information for robust understanding and management of water resources in the region. With the knowledge acquired, we encourage the research community, for example, to participate in projects that provide insights into the global change that occurs in these fragile ecosystems. Also, to complement the challenge of long-term data collection, incursion into modeling of future hydro-climatic scenarios is essential. Finally, we encourage the community to continue collaborating and establishing new international cooperation initiatives. All this to generate long-term management strategies and ensure the socio-economic development without compromising hydrological and ecosystem resources.