Issues such as overpopulation, social fragmentation and environmental degradation which are symptomatic of developing countries impact cities negatively, compromising quality of life. The urgent necessity to address basic needs for a growing population is consistently prioritized over the planning of cohesive, organized and healthful communities. Such unregulated urbanization poses challenges to the creation of viable, sustainable communities, in addition to generating circumstances of significantly compromised public health. This paper offers an empirical evaluation of contemporary developmental patterns in Cairo (the world largest cities by 2020) it analyzes demonstrated developmental trends, identifying inherent drawbacks as well as positive parameters evident in recent growth. the study posits that the urban environment can be ameliorated by comprehensive planning to moderate the impact of social, cultural and economic disadvantages, arguing that planning is essential for future communities representing the desired ideals of aesthetic form, social cohesion, equitable social engagement and improved health.