The 1980 eruption of Mount St. Helens produced a massive landslide and consequent pyroclastic currents, deposits of which blocked the outlet to Spirit Lake. Without an outlet, the lake began to rise, threatening a breaching of the blockage and release of a massive volume of water. To mitigate the hazard posed by the rising lake and provide an outlet, in 1984–1985 the U.S. Army Corps of Engineers bored a 2.6-km (8,500-ft) long tunnel through a bedrock ridge on the western edge of the lake. Locally, the tunnel crosses weak rock along faults, and external pressures in these weak zones have caused rock heave and support failures, which have necessitated periodic major repairs. During its more than 30-year lifetime, the tunnel has maintained the level of Spirit Lake at a safe elevation. The lake approaches its maximum safe operating level only when the tunnel closes for repair. The most recent major repair in early 2016 highlights the need for a reliable outlet that does not require repeated and expensive interventions and extended closures. The U.S. Forest Service, U.S. Army Corps of Engineers, and U.S. Geological Survey developed, reviewed, and analyzed an array of options for a long-term plan to remove the threat of catastrophic failure of the tunnel. In this report, we (1) provide background on natural hazards that can affect existing and alternative infrastructure; (2) evaluate the potential for tunnel failure and consequent breaching of the blockage posed by the current tunnel infrastructure; (3) evaluate potential consequences to downstream communities and infrastructure in the event of a catastrophic breaching of the blockage; (4) evaluate potential risks associated with alternative lake outlets; and (5) identify data and knowledge gaps that need to be addressed to fully evaluate options available to management.