Sustainable Urban Drainage Systems (SUDS) represent a paradigm shift in stormwater management, offering holistic solutions to urban water challenges. This review examines SUDS principles, design strategies, effectiveness and barriers to implementation. SUDS prioritize infiltration and mimic natural hydrological processes to reduce flood risk, improve water quality and support ecosystems in urban environments. Effective SUDS design integrates different components such as permeable pavements, green roofs, and rain gardens, tailored to the local context. Evidence suggests that well-designed SUDS can mitigate peak flows, reduce runoff volumes, and purify water. However, barriers to widespread adoption include lack of awareness, upfront costs, and regulatory complexity. Overcoming these will require collaborative stakeholder action to prioritize education, policy support, and funding opportunities. Future research should focus on optimizing SUDS design, assessing long-term performance, and quantifying socio-economic benefits. By integrating SUDS into urban landscapes, cities can strengthen hydrological resilience, promote sustainability, and enrich urban life.