At least half of Accra's residents do not enjoy safe, secure, and affordable access to water on a regular basis. Focused on underserved communities in and around urban Accra, this essay highlights the meanings and importance of water insecurity for residents' daily lives. In particular, this essay extends beyond the well-established ways that the lack of safe and affordable access conditions poor public health outcomes, to a broader understanding of well-being informed by residents' own experiences of irregular and insecure access to water. This essay thus seeks to broaden understandings of water insecurity beyond the basic and minimum access required for daily needs, and to consider broader social-contextual dynamics, such as reported experiences of stress or conflict, that residents face daily in negotiating water insecurities. 1