Advances in mathematical model applications toward the understanding of the complex flow, characterization, and water-supply management issues for karst aquifers have occurred in recent years. Different types of mathematical models can be applied successfully if appropriate information is available and the problems are adequately identified. The mathematical approaches discussed in this paper are divided into three major categories: 1) distributed parameter models, 2) lumped parameter models, and 3) fitting models. The modeling approaches are described conceptually with examples (but without equations) to help non-mathematicians understand the applications.