Sustainable building design has become a hot topic over the past decades. Many standards, databases, and tools have been developed for achieving a sustainable building. Not until recently have the importance of structural engineering and its contribution to sustainable building design been full recognised. However, due to the highly fragmented and diversity of knowledge across building and infrastructure domains, there is a lack of approach that can address all the sustainable issues within the structural design. This paper reviews the sustainable design from the perspective of structural engineering: (1) reviewing the current situation; (2) identifying the gaps and difficulties; and (3) making recommendations for future improvements. The strategies and indicators, as well as BIM-enabled methodology, for sustainable structural design (SSD) are also discussed in a holistic way. The results of this investigation show that most of the methods are not doing well in terms of delivering a successful sustainable structural design. It is expected that the future BIM could probably provide such a platform to address these issues.