Water footprint assessment is a developing method that is being increasingly applied to quantify water use, prioritise reductions, assess sustainability and provide information to achieve sustainable, efficient, and equitable water use. The objectives of this paper were to conduct a water footprint assessment of primary citrus production within the Lower Sundays River Valley in South Africa using local, high resolution data and to examine indicators (water scarcity, pollution, efficiency, productivity and access) to determine the sustainability of blue, green and grey water footprints of a wet, dry and average year. Lemons were found to have the lowest blue and combined green-blue water footprint per ton of production across all climatic years, followed by soft citrus, valencias and navels. Valencias had the lowest, and navels the highest grey WF (relating to inorganic nitrogen). Lemons, despite their high crop water and fertiliser requirements, were regarded more economically efficient in comparison to valencias, soft citrus and navels, in that they provided higher net income and more employment hours per m(3) of water in comparison to other citrus crops. In an average season, lemons generated approximately 39% more income per m(3) of water than navels, despite navels being the dominant cultivar. Blue water consumption for citrus in the catchment was calculated to be 58.7 Mm(3) for an average season and 89.2 Mm(3) for a dry season. Due to an inter-basin transfer scheme, no physical water scarcity occurred, and both environmental and basic human needs are met. Water pollution levels related to nitrogen however, exceeded the assimilative capacity of the run-off in dry years. The area also experiences institutional and infrastructural scarcity and 14% of the population do not have access to piped water. Stakeholders and governments may use the results of water footprint assessments to determine the status of river basins, make evaluations for future water usage and the potential impacts of expanding agriculture and different management strategies. Including environmental and socio-economic indicators will also improve the integrity of water footprint assessments. (C) 2016 Elsevier Ltd. All rights reserved.