This paper reports on a study of the implementation of sustainable urban drainage systems (SUDS) in two Spanish towns (Xàtiva and Benaguasil) as part of the EU LIFE+ Project AQUAVAL, which has been conceived to introduce examples of sustainable drainage to the Valencia Region of Spain. Six sites in a range of common urban spaces and land uses are selected and appropriate SUDS techniques proposed by means of a decision-support process. This primarily consisted of the systematic application of key selection criteria through matrices and scores, followed by a brief sustainability analysis. Stakeholders’ preferences and opinions as well as educational and social opportunities are highly considered throughout the process. General monitoring requirements and major limitations in using the methodology are outlined, stressing the need for improvement of four main aspects: local data regarding SUDS performance, detail of the sustainability analysis, support through comprehensive modelling tools, and level of stakeholder engagement. The importance of creating showcases for SUDS in Mediterranean Regions, thus adapting key selection criteria as to foster sustainable drainage understanding and expertise is highlighted.