Floods are a crucial agent of geomorphic change in the channels and valley floors of mountains watercourses. At the same time, they can be highly damaging to property, infrastructure, and life. Because of their high energy, mountain watercourses are highly vulnerable to environmental changes affecting their catchments and channels. Many factors have modified and frequently still tend to modify the environmental conditions in mountain areas, with impacts on geomorphic processes and the frequency, magnitude, and timing of floods in mountain watercourses. The ongoing climate changes vary between regions but may affect floods in mountain areas in many ways. In many mountain regions of Europe, widespread afforestation took place over the twentieth century, considerably increasing the amounts of large wood delivered to the channels and the likelihood of jamming bridges. At the same time, deforestation continues in other mountain areas, accelerating runoff and amplifying the magnitude and frequency of floods in foreland areas. In many countries, in-channel gravel mining has been a common practice during recent decades; the resultant deficit of bed material in the affected channels may suddenly manifest during flood events, resulting in the failure of scoured bridges or catastrophic channel widening. During the past century many rivers in mountain and foreland areas incised deeply; the resultant loss of floodplain water storage has decreased attenuation of flood waves, hence increasing flood hazard to downstream river reaches. On the other hand, a large amount of recent river restoration activities worldwide may provide examples of beneficial changes to flood risk, attained as a result of increased channel storage or reestablished floodplain water storage. Relations between geomorphic processes and floods operate in both directions, which means that changes in flood probability or the character of floods (e.g., increased wood load) may significantly modify the morphology of mountain rivers, but morphological changes of rivers can also affect hydrological properties of floods and the associated risk for societies. This paper provides a review of research in the field of floods in mountain environments and puts the papers of this special issue dedicated to the same topic into context. It also provides insight into innovative studies, methods, or emerging aspects of the relations between environmental changes, geomorphic processes, and the occurrence of floods in mountain rivers.