The current phase of oilfield water infrastructure buildout in the Permian generally emphasizes each operator or midstream provider building its own water transportation and disposal systems. Accordingly, the overall market is balkanized and inefficient compared to the performance a more interconnected system could achieve. A hydrovascular grid in the Permian Basin could lower oil & gas production costs, conserve scarce freshwater by promoting greater recycling and reuse of produced water, help mitigate seismicity risks, and facilitate movement of produced water at large scale for use outside the oilfield. The paper realistically assesses the barriers to such integration. It concludes by offering a set of practical ideas to overcome these challenges and help transform oilfield water into a resource for West Texas and Southeast New Mexico.