Large-scale displacement occurred in Pakistan in August and September 2010 after the worst flooding that hit the country, forcing over 7 million people to leave their homes. With support from ECHO, ACF provided safe drinking water, proper hygiene and sanitation facilities to 10,925 flood and conflict-affected households and food security and livelihoods support to 5,000 households. The objective of this evaluation was to assess the impact and approach of ACF’s project activities in Khyber Pakhtunkhwa and to provide recommendations for future programming. This study focused on the following areas: Project Design; Beneficiary Targeting; Project Implementation; Support Systems; Project Sustainability; FSL Surveillance; Project Monitoring and Livelihoods Recovery Committees (LRC). The Evaluation was done based on DAC criteria: Impact, Sustainability, Coherence, Coverage, Relevance/Appropriateness, Effectiveness and Efficiency to gauge the success of the project.