Pakistan is one of the most vulnerable countries especially in Southeast Asia experiencing floods and droughts as a result of climate change. Variation in climate adversely affects agriculture sector, ground water, nutrition, soil quality and soil organic matter, health conditions, and poverty. The main purpose of this study is to review the impact of climate change and adaptation strategies used at farm level in response to variation in temperature and precipitation. As per literature, Pakistani farmers adopt several adaptation strategies in response to climate change, like change in fertilizer, change in crop variety, pesticide, seed quality, water storage, farm diversification, plant shade trees, irrigation practices, off-farm activities, permanent and temporary migration, and selling of assets. Literature also showed that farmers living wetland area perceived less variation in climate than farm households living in dry area.