In the context of the Ministry of Environment’s 2022 Climate Change Adaptation Plan for Public Institutions, public sewage treatment plants are one of the important targets for climate change response aimed at sustainable water management. In this study, it is applied a modified methodology to four water regeneration centers (public sewage treatment facilities) in charge of sewage treatment in Seoul to analyze the impacts and risks of climate change and discuss priorities for adaptation measures. The results of the study showed that heavy rains, heat waves, and droughts will be the key impacts of climate change, and highlighted the need for measures to mitigate these risks, especially for facility managers.