Sustainable development is a challenging field of research, colored by the paradoxes of modernity and development, and the trade-offs involved in balancing the “sustainable” and “development” sides of the various sustainable development goals. We must take these overarching challenges into account when entering a more specific discussion of what a concept of sustainable climate change adaptation may entail. This article reviews the history of this concept, including insights provided by the recent publications composing a special collection of Weather, Climate, and Society on the topic of sustainable climate change adaptation. This collection reflects on why and how the term sustainable development should be included in our understandings of and efforts toward climate change adaptation and proposes a preliminary framework for distinguishing between conventional and sustainable adaptation.