Climate change has become one of the most compelling fields of empirical research over the last couple of decades, partly due to its socio-economic impacts. Using a meta-analysis of 235 peer-reviewed articles published between January 2010 and July 2020, this paper appraises climate change adaptation (CCA) research in Nepal and draws lessons for future adaptation planning. The number of research is observed to have increased significantly in recent years (2015–2020) although there is no consistent pattern over the review period and at the thematic level. Findings submit that the agriculture and food security has the highest number of publications (37%) followed by gender equality and social inclusion (18%) and forest, biodiversity and watershed management (16%). There are no studies found in rural and urban settlement theme. Geographic distribution of CCA studies revealed that over 40% studies were carried out from central Nepal, while no study was conducted in ten districts of eastern and western Nepal. The study focus was also discrete, and the perception and attitude and impact assessment of climate change were common agendas; however, the drivers of change and options for adaptation were understudied. CCA with multipronged initiatives provide a broader understanding of dynamics and governance of climate change that not only affects rural livelihoods, but also influences regional and global environments and biodiversity.