This article presents the design and testing of a model-assisted participatory process for the formulation of a local adaptation plan to climate change. The pilot study focused on small-scale and commercial agriculture, water supply, housing, wildlife, livestock and biodiversity in the Thukela River basin, KwaZulu-Natal, South Africa. The methodology was based on stakeholders identifying and ranking the severity of climate-related challenges, and downscaled stakeholder-identified information provided by modellers, with the aim of addressing possible changes of exposure in the future. The methodology enables the integration of model-based information with experience and visions based on local realities. It includes stakeholders' own assessments of their vulnerability to prevailing climate variability and the severity, if specified, of climate-related problems that may occur more often in the future. The methodology made it possible to identify the main issues to focus on in the adaptation plan, including barriers to adaptation. We make recommendations for how to design a model-assisted participatory process, emphasizing the need for transparency, to recognize the interests of the stakeholders, good advance planning, local relevance, involvement of local champions, and adaptation of Information material to each group's previous experience and understanding.