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The present study was undertaken to evaluate and verify the water quality status and trophic state of 15 major lakes and reservoirs in Malaysia. The lake water quality assessments were based on the National Water Quality Index (NWQI), while the trophic state assessments were based on Carlson's Trophic State Index (TSI). The findings of this water quality assessment, based on data collected between September and October 2012, indicated that a majority of the lakes were classified as Class II (Clean) waters suitable for recreational use. The results of the trophic state assessments, however, indicated that all of the lakes were eutrophic, meaning they were nutrient-rich, they could experience algae blooms or macrophyte problems, and they were likely to exhibit poor water quality. Sustainable management measures and strategies are suggested to address the eutrophication problems of Malaysian lakes and reservoirs, with the national responses on lake and reservoir management also being discussed.