As water quantity and quality problems become increasingly severe, accurate prediction and effective management of scarcer water resources will become critical. In this paper, the successful application of artificial neural network (ANN) technology is described for three types of groundwater prediction and management problems. In the first example, an ANN was trained with simulation data from a physically based numerical model to predict head (groundwater elevation) at locations of interest under variable pumping and climate conditions. The ANN achieved a high degree of predictive accuracy, and its derived state-transition equations were embedded into a multiobjective optimization formulation and solved to generate a trade-off curve depicting water supply in relation to contamination risk. In the second and third examples, ANNs were developed with real-world hydrologic and climate data for different hydrogeologic environments. For the second problem, an ANN was developed using data collected for a 5-year, 8-month period to predict heads in a multilayered surficial and limestone aquifer system under variable pumping, state, and climate conditions. Using weekly stress periods, the ANN substantially outperformed a well-calibrated numerical flow model for the 71-day validation period, and provided insights into the effects of climate and pumping on water levels. For the third problem, an ANN was developed with data collected automatically over a 6-week period to predict hourly heads in 11 high-capacity public supply wells tapping a semiconfined bedrock aquifer and subject to large well-interference effects. Using hourly stress periods, the ANN accurately predicted heads for 24-hour periods in all public supply wells. These test cases demonstrate that the ANN technology can solve a variety of complex groundwater management problems and overcome many of the problems and limitations associated with traditional physically based flow models.