Two-lift concrete pavement, sometimes referred to as composite pavement, is an innovative technique that involves placing a thinner portland concrete layer over a thicker portland concrete layer at a specified interval. A shortage of suitable aggregates for use in concrete pavements in some regions of the world has become a very serious concern for some organizations. Importing aggregates from faraway locations is neither economical nor practical/sustainable; therefore, the use of local materials is highly desirable. The strength of two-lift concrete pavement technology lies in being able to utilize any of the following for the bottom lift: locally available aggregates, manufactured sands, highcoefficient of thermal expansion (CoTE) aggregates, recycled concrete aggregates (RCA), fractionated reclaimed asphalt pavements (FRAP), lower cement content, or a higher amount of supplementary cementitious materials (SCMs). Some of these materials, however, may not be allowed to be used in single-lift concrete pavements due to issues related to polishing, durability, or strength gain. This paper gives a thorough overview of the historical background, potential environmental and sustainable advantages, and practical challenges related to two-lift pavement.