Aedes vexans is known to occur in large populations in riverine floodplains in much of Europe, where it can cause a significant biting nuisance and is often subject to large scale control strategies. Until recently it had only been reported in very small numbers in the United Kingdom. After receiving reports of nuisance biting near the river Idle, Nottinghamshire (East Midlands, England), mosquito surveillance was conducted over three years (2018-2020) using Mosquito Magnet adult traps. Ae. vexans was found in all years, in very high numbers, particularly in 2020, reaching a peak of almost 5,000 female mosquitoes per trap night, the highest reported density of trapped adult mosquitoes in the UK. Larval control was conducted in all years, and adult control in one year, however local peculiarities of flood and water management presents challenges and necessitates a multi-faceted approach. Strategies for further expansion of the control operation by developing strategies for water management, coupled with larval surveys to define the extent and seasonality of larval habitats, and application methods of Bacillus thuringiensis israelensis products are discussed.