The HKH region is the world's highest mountain region, extending over 3,500 km. Appropriate farm technologies of the cold and dry HKH mountain areas of China, India, and Pakistan have been documented in this monograph. Technologies for water conservation are being documented in this monograph. Technologies for water conservation are being used for the management of water and the irrigation of staple crops and orchards. There is one innovative technology for the artificial recharge of groundwater, i.e., delay action dams (DADs), that has been documented here. There area total of 17 technologies for land and soil management. Land management technologies are mostly biological tools that improve land productivity levels under natural conditions, where as soil-related technologies focus on soil fertility, tillage, and so on for crop production. Most of the technologies to increase productivity focus on fruits and vegetables, with a few concentrating on animal production and farm machinery. The agro enterprise-oriented technologies motivate farmers to transform their traditional subsistence-oriented economies into commercial, income-generating farm economies. Indigenous agro-base technologies are women-specific and focus on gender equity in the male-dominated social structure of HKH region by strengthening the economic empowerment of women. These technologies include farm produce preservation and commercial processing, beekeeping, mushroom production, palm leaf household products, and other cottage products. Some recommendations for study and dissemination of these technology packages at various levels have been listed. The annexes are valuable and list well-known fruit and vegetable varieties found in the different agro-ecological zones of the HKH region.