Mountains are at the frontline of climate change, with degrading cryosphere and changing precipitation disrupting water flows and ecosystem dynamics, creating and worsening natural hazards that impact communities both in mountains and downstream. For centuries, mountain people have developed coping strategies to adapt. However, the unprecedented magnitude and speed of climate change in recent decades are putting them under pressure. In its sixth assessment, the IPCC underscores a need to substantiate how adaptation can reduce climate risks, thereby minimising negative impacts on people. This session, convened by the “Adaptation at Altitude” programme consortium supported by the Swiss Agency for Development and Cooperation, invites contributions that showcase methods, solutions, and experiences implementing adaptation, including governance, interregional exchange and platforms that support knowledge transfer and strengthen adaptability. We also seek to promote dialogue and critical reflections on the scalability and transferability of adaptations across diverse regions and priorities.