Positive energy district (PED) is a novel idea aimed to have an annual surplus of renewable energy and net zero greenhouse gas emissions within an area. However, it is still an ambiguous concept, which might be due to the complexity of city district projects with interconnected infrastructures and numerous stakeholders involved. This study discusses various aspects of PED implementation and presents practitioners’ experiences with the PED concept, challenges, and facilitators they have faced with real projects. The study is based on interviews with ten Swedish professionals. The major challenges reported for PED implementation were local energy production and energy flexibility, sub-optimization, legislation, suitable system boundaries, and involvement of stakeholders. Most of the interviewees mentioned improved collaboration, integrated innovative technology, political support, and climate change mitigation goals as important facilitators. The interviewees highlighted the importance of a local perspective and considered each city’s preconditions when developing a PED project. The study emphasizes that to facilitate PED implementation and replication in cities, more knowledge and clarity is required about PED such as on the definition and system boundaries.