Agricultural intensification worldwide is increasingly relying on a narrow range of crops such as rice, wheat, and maize. The reliability on this relatively small numbers of food diversities raises a very serious concern about the sustainability managing our nutrition today and in the future. We conducted a scoping review using online databases to identify various agricultural interventions that can be utilized for enhancement of underutilized root and tuber crops adaptability under the current observable effects of climate change. This is because reports of underutilized crops’ adaptability to climate change continues to remain anecdotal with limited research capacity to support them. The results mooted a wide range of crop production techniques that can be utilized in production of root and tuber crops. They includes biofertilizers, tied ridging method, improved seed varieties, management of community seed banks, cropping systems, irrigation methods, exploiting abandoned lands, agroforestry practice, clean seed production technologies, and nutrient use efficiency. Based on the findings, each of these interventions plays different roles in management of the negative impacts brought up by climate change and thus they would be useful when adopted in combination since package adoption would enable farmers to benefit from the positive synergy of the selected interventions. The interventions are therefore recommended not only for sustainability but also for profitable production to meet feed, food, energy, and fiber needs and foster economic growth in the ever changing world. Therefore this chapter contributes immensely towards the development of innovative mechanisms for strengthening the resilience of root and tuber crop.