In order to face the severe climate conditions in semiarid regions, many managed aquifer recharge (MAR) and rainwater storage systems have been implemented by local communities. Governmental programs have helped to propagate the concept of MAR. Based on a systematic review, popular initiatives, current legislation, and research lines and programs were compiled and analyzed. Although the MAR global inventory points to the prevalence of in-channel modifications among ninety MAR sites, the Barraginhas Project alone has been responsible for the construction of more than 500,000 infiltration ponds up to 2013. In urban areas, aquifer recharge initiatives mostly aim to reduce runoff peak flows. In some cases these initiatives have been stimulated by urban drainage public policies. Compared to countries such as the USA and Australia, Brazil is still at an early stage in MAR initiatives and needs to overcome technical, legal, and socio-cultural challenges to adopt MAR approaches, in order to help in facing water security challenges in a future climate change scenario. This article aims to provide an overview of the state of the art concerning technological, scientific, and legal issues around MAR in Brazil and the respective challenges for the adoption of this approach at a national level.