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The article presents the results of qualitative studies concerning the presence of air quality management in the process of urban planning and in the public discourse in Antwerp, Belgium, and Gdańsk, Poland. We focused on the way urban planners, environmental experts, and stakeholders perceive the problem of air pollution, especially with respect to urban development policy, and whether they consider it one of the major factors determining the quality of the urban built environment. The analysis was empirically based on free, partially structured interviews with experts. With that aim, we referred to certain assumptions of the multidimensional concept of environmental protection and integrated urban planning, highlighting the knowledge gained through interview analysis, literature review, and comparative case study research. The approach brings to light the difference between the perceived and measured air quality and to what extent it is affected by the spatial conditions. The research reveals how the range of perceptions of air pollution is embedded in several sociological, urban planning, and cultural perspectives and how these perceptions differ between the different profiles of the stakeholders and experts.