The 2003 flood of the Muda River reached 1,340 m3/s1,340 m3/s at Ladang Victoria and adversely impacted 45,000 people in Malaysia. A flood control remediation plan proposed a levee height based on a 50-year discharge of 1,815 m3/s1,815 m3/s obtained from hydrologic models. This design discharge falls outside the 95% confidence intervals of the flood frequency analysis based on field measurements. Instream sand and gravel mining operations also caused excessive riverbed degradation, which largely off sets apparent benefits for flood control. Pumping stations have been systematically required at irrigation canal intakes. Several bridge piers have also been severely undermined and emergency abutment protection works were needed in several places. Instream sand and gravel mining activities should be replaced with offstream mining in the future.