Yemen is a water-scarce country with inadequate fresh water and considerable groundwater depletion, as well as a lack of adequate surface water. The study region is considered an arid region, and there is insufficient water to meet the needs of the region's yearly population growth rate of 4 %. This study aims to assess the water resources in the Sana'a region and to identify the current water situation and forecast for the future. Rainfall changes spatial and temporal in very few quantities and an annual average of 267 mm. Water harvesting facilities are entirely filled by 75% of the total water facilities in the rainy seasons. The groundwater level in Sana’a Basin decreases about 6-8 meters annually due to the increase in the number of wells, the abundance of abstraction, and the lack of recharge. The amount of abstraction exceeds 400% of the recharge in the Sana'a basin. The water per capita is 70 - 85 m³ annually. It is an abstraction from the aquifers by private wells. The crop cultivated area decreased from 184217 hectares in 2007 to 122583 hectares in 2018 due to lack of water. The sewage treatment plant treats 18.25 Mm³ annually, with less than 70 % efficiency. The water deficit is about 500 to 723 Mm³ annually; it is an abstraction from the aquifers by private wells. The current water situation in the Sana'a region is catastrophic, and the planning and management must ensure a water balance in the future.