This document provides a summary of the expert meeting on adaptation for small island developing States (SIDS), which was held in two parts. The first part for the Caribbean and Atlantic Ocean SIDS took place in Kingston, Jamaica, from 5 to 7 February 2007 and the second part for the Pacific and Indian Ocean SIDS took place in Rarotonga, Cook Islands, from 26 to 28 February 2007. Discussions focused on impact and adaptation assessments; adaptation planning and implementation; and regional and international cooperation. This document also includes possible follow-up actions relating to specific regional adaptation needs and concerns to address the main outcomes identified at the meeting.