Continuously changing conditions of sociotechnical systems are the basis of structural changes in communities. Relationships between transition contexts and regime transformation processes and their driving factors in sociotechnical regimes are poorly understood. Moreover, not all changes in multilevel governance regimes are geared towards sustainability, as demonstrated by the case of the water management regime in Sanandaj county in the west of Iran between 1962 and 2018. The current study shows how the management regime of water resources in the case study has changed over time and identifies the institutional arrangements through a retrospective analysis. The analysis is based on three stages of data collection which included a discussion group, a Delphi survey, and a focus group survey among various types of stakeholders. The “Hybrid Transitions” framework is introduced in order to denote processes of regime change that take place in a range of different transition contexts. The findings do not identify a single transition pathway but show that a number of parallel transition pathways have occurred in the context of groundwater and surface water management and their respective institutional arrangements. The study provides a better understanding of the complexity of transition pathways that were devised at the management regime level.