Nagaur district of Rajasthan is severely affected form high fluoride concentration in ground water which leads to severe health issues. Bankapatti (banka-distorted, Patti-Belt) is a particular belt of Nagaur district where disability is commonality due to high fluoride concentrations in the ground water. The district experiences an arid to semi arid type of climatic conditions and characterized by undulated topography, moderately high degraded hills and sand dunes. Frequent monsoon failure resulting in widespread drought implies a deepening of the already severe water crisis. Fluoride contaminated groundwater and rainwater are the major source of water in district. In past, Nagaur district has over-exploited her groundwater without recharging the groundwater and creates a water famine. The food and water security of the Nagaur district is totally rely on the intensity of monsoon and ground water. The research attempts to discuss water related problems and possible feasible approaches of water conservation. Recharging of wells using latest water conservation and management techniques, rehabilitation of traditional water bodies systems, better planning of water use and proper education and awareness may aid present crisis.