AbstractWhile urban river restoration has become mainstream in the Global North, it remains scarce in Latin America, where most literature focuses on water quality, stream habitats, and watershed assessment, but planning and implementation lag behind. Colombia is undergoing a paradigm shift after pioneering the integration of green and blue infrastructure (GBI) into urban planning in the early 2000s (namely Estructura Ecológica Principal). A surge in river renaturalization initiatives is underway, with large and intermediate cities planning and executing projects. We systematically assessed the integration of rivers and GBI into local policies (Planes de Ordenamiento Territorial) and found widespread and strong recognition of streams, wetlands, and ecosystem services in urban planning, higher than previously reported. Most cities emphasize river multifunctionality, ecological connectivity, public space, and recreation, as well as disaster risk reduction, advancing toward sustainable urban water and drainage systems. However, significant gaps persist regarding climate change resilience, participation, and social justice. In a region marked by high inequality, pre-existing spatial exclusion could be amplified by urban renewal, greening, and tourism due to unfair resettlement conditions and gentrification. Such trade-offs can undermine the ecological and social benefits of restoration. We highlight the crucial role of civil society and grassroots activism in protecting and defending urban commons and conclude by recommending a critical examination of GBI and river restoration efforts in Latin America. Colombia’s case can serve as both a reference and a cautionary tale for other cities in the region to achieve outcomes that promote equity and justice amid pressing social and environmental challenges.