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Urban studies in Nigeria mostly focus on large cities and metropolitan areas, with minimal attention given to sustainable urban development in midsized cities. In this study, we address this knowledge gap and examine the policies and practices driving urban growth in Uyo, a midsized city in Nigeria. Specifically, we evaluate to what extent the prevailing urban governance culture and practices move the city toward or away from being inclusive, safe, resilient, and sustainable—central tenets of UN Sustainable Development Goal (SDG) 11. This study critically explores the strategic and operational approaches deployed by public stakeholders in pursuit of urban development, housing security, and economic and infrastructure development. We find the lack of continuity in commitment to urban infrastructural development projects and a flawed land tenure system that exacerbates housing insecurity are the two most critical challenges to address in attaining the goals of SDG11 in Uyo. The former calls for better fiscal management and adoption of good governance practices across the administrative hierarchy. The land tenure system can be made equitable and less cumbersome by overhauling the 1999 Land Use Act law of the country. Our findings can inform policies to make midsized cities facing similar challenges more inclusive, safe, resilient, and sustainable.