Surat known as “Diamond city or Textile city”, located on river Tapi is India’s 12th and Gujarat’s 2nd most populous city with a population of 4.4 million. Surat lies in the flood plain area and there are a number of creeks in southern west part of city. Rapid industrialization with heavy migration from various parts of India and merger of villages due to extension of city limits results in to almost doubling of the population in a decade. Repetitive floods, high population density, lack of safe and adequate water supply, river side location, changing rainfall pattern, socio demographic structure, and rapid industrial development activities of Surat city are highly conducive (suitable temperature and humidity) to increase the disease burden (vector borne and water borne). While these complex problems require integrated solutions, earlier to the establishment of SCCT there used to very limit platforms for collaboration and deliberations for developing integrated solutions. With the intention to address the above problems, SCCT was established under the Bombay Public Trust Act, 1950 in Surat city to engage in policy advocacy regarding urbanization and climate change, to assess urban growth scenarios and to advise local government on sustainable habitat development.