The Aga Khan University’s (AKU) Institute for Global Health and Development (IGHD) brought together Pakistan’s leading architects, planners, public health experts, development specialists, and government representatives to address one of the country’s most pressing national challenges: how to redesign homes, neighbourhoods, and public systems to withstand intensifying climate pressures in both urban and rural settings. The dialogue unfolded at IGHD’s Annual Conference on Climate Change and the Built Environment, hosted in partnership with Sustainable Development Solutions Network (SDSN) Pakistan, under the leadership of Professor Zulfiqar A. Bhutta, Founding Director of IGHD. This year’s theme, “Climate Change and the Built Environment: Promoting Resilience & Adaptation in Low-Income Settings,” set the stage for a day focused on evidence, solutions and innovative approaches.