The main objective of this article is to analyze some aspects that fostered floods in Colombia in the period 2010/2011. The methodology followed was a review and synthesis of information on different approaches to flood management, in harmony with the ecosystemic vision and integrated management of water resources. The results indicate that the rainy season and La Nina phenomenon from April 2010 to December 2011 left 5,2 million people affected and 683 people dead. This has been the most critical event in history, because it doubled the accumulated losses from flooding in 30 years. Besides the above, it has been identified that the disaster was due to a combination of factors, among which are: changes in vegetation cover, deficiencies in the management of land and water resources, the weaknesses in the design and management of infrastructure, the population growth patterns, the institutional problems in the prevention and emergency care, lack of transparency and corruption, legislation that lacks enforcement methodologies, fiscal resources and mechanisms for monitoring and measuring the results, among others. One conclusion is the need to include new knowledge on climate, risk management and planning, but above all, it is recommended to address the management of floods with a different approach, migrating to more comprehensive processes and with a higer adaptation capacity from the Colombian society in the coming years through a more efficient flood risk management, in accordance with the modern concepts and in harmony with sustainable development processes.