Sustainability is clearly represented in Jeddah old city where traditional builders have developed unique practices that promote environmental, social and economic qualities. The urban form and buildings proved efficiency towards the conservative society, the pattern of life and the prevailing hot-humid climate. The open space system, characterized by narrow walkways and wider intersections, provided shaded and ventilated places for walking and communicating. Houses were configured according to social traditions that imply the separation between private and public life. Walls were constructed of locally coral stone blocks known by its thermal insulation ability, then finished with white color which acts on reflecting sunlight and reduces the heat absorption. Large wooden latticed windows admit daylight but control heating and ventilation, while providing privacy for the family. Moreover, rainwater was collected and stored in basement reservoirs. However, attempts to record these manifestations of sustainability have always been subjective. Therefore, based on long experience of academic work in relation to historic Jeddah, the present chapter intends to reintroduce previous knowledge but supported by evidence whenever possible hoping that it can help formulating guidelines for effective and sustainable alternatives. This is of great benefit to current professionals.