In 2014, a radical shift took place in Danish water planning. Following years of a top-down water planning approach, 23 regional water councils were established to co-create and provide input to Danish authorities on the development of River Basin Management Plans (RBMP). The water councils advised local authorities on the application of measures to improve the physical conditions in Danish streams within a given economic frame. The paper shows the difference the use of water councils (public participation) made by comparing the final water council proposal included in the 2015 RBMP to the RBMPs proposed by the central government (Nature Agency) in 2014. The study concludes that the measures proposed by the water councils will generally deliver better results than the proposed Nature Agency plans, which do not include the same level of participation. Specifically, the water councils with stakeholder involvement proposed a much longer network of streams (3800 km), yielding a better ecological outcome than the shorter stream network (1615 km) proposed by the Nature Agency for the same budget. Having a structured and fixed institutional frame around public participation (top-down meeting bottom-up) can produce cost-effective results, but the results show that cost-effectiveness was not the only deciding factor, and that local circumstances like the practicalities of implementing the measures were also considered when developing the Programmes of Measures. The findings suggest that the use of water councils in water planning has significant advantages, including the fact that the knowledge of local conditions helps to identify efficient solutions at lower costs, which can be useful for administrators, policy-makers, and other stakeholders implementing theWater Framework Directive in years to come.