This study delves into Urban Acupuncture (UA) as a transformative strategy for enhancing urban infrastructure, focusing on the Historic Center of Baghdad. The research examines how small-scale, responsive interventions inherent in UA can contribute to sustainable development, particularly vernacular interractions.It employed surveys among the decision-makers and experts in Baghdad as a methodology followed by a cause-effect analysis to evaluate the impact of UA. Findings reveal a significant positive influence of UA on transportation and communication infrastructure, endorsed by key stakeholders for enhancing public transportation and modernizing infrastructure.The study highlights the potential of small-scale interventions in urban renewal and acknowledges the complexities of implementing such strategies in Baghdad's unique urban landscape. Conclusions emphasize the efficacy of UA in urban renewal and advocate for further exploration into its nuanced impacts, recommending longitudinal studies for a comprehensive assessment.