The main objective of this research was to evaluate the effectiveness, gaps, and limitations of slum development and improvement initiatives in Southern Punjab. Slums are home to one out of every three people who live in cities throughout the developing world. These are often areas of robust economic activities. Globally, more than a billion people reside in slums. Many slums sprung up in and around Bahawalpur to accommodate the influx of people seeking better opportunities from surrounding areas, including Bindra Bund, Tibba Badar Sher, and others. Most of these slums continued to have issues because of urbanization and a lack of public amenities. The research used a mixed-methods research design, integrating quantitative and qualitative methodologies, to provide a thorough understanding of the growth of slums in the Southern Punjab region, and Tibba Badar Sher in particular. The paper concludes with the identification of key obstacles and opportunities for sustainable development.