The evolution of water governance and societal perception in large, public irrigation systems in developing countries has triggered successive waves of reforms since the 1980s. Among them are Participatory Irrigation Management, Irrigation Management Transfer, Public-Private Partnerships or Market Instruments. Reforms have generalized the implementation of Water Users Associations (WUAs) in continuous interaction with a public Irrigation Agency. This paper set out to review recurrent problems and reported solutions in the governance of irrigated areas in developing countries and to relate solutions to problems in a case study context. The combination of literature review and the experience of the authors permitted identification and characterization of eight problems and eight solutions. A semi-quantitative approach was designed to relate solutions to problems in case study WUAs. The approach is based on the definition of a generic problem-solution matrix and a WUA-specific problem vector. The solution vector indicates the adequacy of each solution to a case study WUA. It can be obtained by multiplying the problem vector with the problem-solution matrix. Application of this approach to seven case study WUAs demonstrated its potential. Local fine-tuning of the coefficients defining the problem-solution matrix seems required to draw conclusions effectively guiding decision-making.