This research is conducted to ascertain the level of compliance of selected primary health care centers in Bauchi state to the principles of sustainable Architecture. The general idea is to determine the general acceptance in terms of usage to all (abled or disabled persons), environmental friendliness, and occupants comfort of the selected primary health care centers. For the purpose of clarity, the approach for this study is strictly qualitative, data are collected through case study by use of sketches, photographs and physical observation. Data collected are analyzed using cross case analysis. At the of the research, after careful assessment it was determined that the PHCCs visited and assessed do not conform to the principles of Architectural Sustainability.