The environmental engineering discipline has focused much of its historical efforts in developing regions of the world on advancing environmental sustainability through improving provision of water, sanitation, and hygiene (WASH) services. However, the skills and expertise that reside within the discipline of environmental engineering are fundamental to achieve a much broader range of sustainable development goals, including those related to health, climate, water, energy, and food security; economic development; and reduction of social inequalities. Accordingly, this article critically reviews several focus areas where environmental engineering should assume a more active presence in the global community that seeks to achieve sustainability in developing regions of the world. The 10 environmental engineering Grand Challenges for the developing world covered are: (1) understand the historical perspective of the discipline's connection with public health as the field transitions forward; (2) integrate the differences encountered when operating over rural to urban locations; (3) address emissions of greenhouse gases and other important carbon-containing pollutants; (4) understand the link between development and health to better connect health outcomes and reduction in risk with ecosystem management and other development interventions; (5) address the complex interactions of water energy systems; (6) integrate the synergy inherent in development/ sustainability goals of WASH, food security, and resource recovery; (7) transition to a green economy; (8) advance monitoring, evaluation, and assessment activities that include life cycle assessment, (9) integrate culture, perception, and behavior with advances in science and technology, and (10) educate globally competent engineers. Our hope is that this discussion leads to a better world through monumental improvements in the environment and human well-being and drives new innovations and opportunities in research, education, practice, and service.