Wetlands and riparian forests belong to the most productive, but also the most vulnerable, ecosystems in urban regions and cities due to their complex watershed system, often very high biodiversity and the pressure from urban land use and surface sealing. Wetlands and floodplain forests are often highly valued recreational areas, providing many benefits for urban dwellers, such as fresh air, moisture, oxygen and biogenic essentials as well as many cultural and place-based values. Wetlands and riparian forests are very efficient spaces for water and matter regulation, pollutants fixation and flood water retention. Thus, particularly for dense urban areas, they represent almost perfect nature-based solutions for risk mitigation and adaptation concerning both climate extremes: flood and drought. Moreover, they can serve as a buffer against high air temperatures and provide wetness during heat waves. However, urban wetlands and riparian forests are often endangered by urbanisation pressure, land take for construction purposes and pollution. This chapter provides arguments that urban wetlands being a nature-based solution for cities facing climate change and presents design options to expand and even create such wetlands in cities where remnants are no longer available.