Throughout history, many water conservation and management strategies have been employed, but only a few have proved successful. Stepwells were one such effective water management technologies used in India. Stepwells were constructed based on their geographical and topographical suitability, which revealed socio-cultural behaviors and beliefs. They form a unique, efficient system of hydraulic engineering that demonstrates the region’s traditional understanding of the sustainable use and management of its land, water, and agricultural biodiversity. Ancient water harvesting techniques integrated stepwells into agricultural and irrigation networks using prefabricated structures, to allow open channel flow, networked with surface water bodies. They demonstrated the use of Persian wheels, non-mechanized farm machinery, other agricultural implements, etc., and their structure utilized a vast array of local building materials, including granite, marble, sandstone, bricks, lime, mud, wood, etc. The utilization of agricultural wastes, such as rice husk, in the production of lakhori bricks is strongly associated with circular economy principles. They not only communicated and guided communities regarding water management and cleaner production, but also revealed historic knowledge regarding how ancient societies achieved social-ecological resilience. In addition to that, in almost all types of stepwells, aesthetics and ornamentation played an important role and served as a rich source of history to disseminate knowledge of governance, political ideas, social practices and lifestyle. Just a few studies on these stepwells have been published and they have generally focused on their history or on the construction materials of a specific stepwell, rather than offering a wide perspective. This review article will explore the scientific, architectural, artistic, and functional dimensions of all major stepwells in India that have either disappeared or lost their relevance owing to expanding human population and environmental stress. Additionally, this will provide an opportunity to rethink modern water engineering systems and redesign water infrastructure with less negative environmental impacts to achieve the Sustainable Development Goals and ensure water for all.