Almost all cities in Indonesia have not had sewer systems that are qualified for the excellent standard. As a province capital, Banda Aceh has also been facing several domestic wastewater management problems. Based on several previous reports, the water body in Banda Aceh has been contaminated by domestic wastewater pollution. Therefore, serious attention is needed to overcome the problem, such as analysis, investigations, and concepts. This paper aimed to review domestic wastewater management in Banda Aceh and describe the concepts that can be used to solve those problems. The analytical methods used in this study were spatial and descriptive analysis. This study’s result was the development of concepts of domestic wastewater management system for preliminary planning in Banda Aceh, which has been considered to be needed as the alternative solution.