Rising sea levels create increasing flood risks for coastal communities, including the City of Vancouver. With a projected sea level rise of 1m by 2100, British Columbia communities face the challenging task of understanding hazards, vulnerabilities, and consequences from flood events, and identifying suitable measures, including infrastructure and planning options, to protect multiple interests over large areas. This paper highlights the application of a Structured Decision Making approach to evaluate mitigation options to reduce flood risks for Vancouver, British Columbia. The process involved a series of stakeholder workshops to identify interests that may be impacted, develop suitable mitigation alternatives, review performance of each alternative and consider trade-offs, and finally to develop recommendations for a suite of mitigation alternatives to protect vulnerable neighbourhoods across the city.