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This article reviews the substantive results from the urban environmental profiles that have appeared in this and past issues of Cities and also draws on data collected from urban environmental questionnaires and consultations held in the cities. Comparisons are made and tentative conclusions are drawn concerning: (1) the status of the environment in the urban region; (2) the interaction between urban development and the environment; and (3) the institutional setting for environmental management. This structure follows the organization of the environmental profiles themselves. The article concludes with a summary of the factors that affect the urban environment along with relevant options for improved management.