A review of existing knowledge regarding how to manage ice during offshore work in cold waters has been carried out. The objective has been to contribute to increased safety and efficiency in future projects by learning from world-wide experiences. It was found that offshore drilling has been carried out in a wide range of ice conditions and at water depths spanning from five metres to more than a thousand metres. Icebergs in open waters have been handled safely over several years and the possibility of detecting icebergs is considered good. With respect to icebergs frozen in sea ice, both detection and deflection is considered difficult and the technology for doing so is not proven. Good ice management systems are considered to represent the main factors for operating successfully in the covered waters. Future work should focus on how to include the effect of ice management statistically in a design process.