Istanbul and other Eastern Mediterranean port cities were among the first to adapt certain elements of nineteenth century state-of-the-art steam-propelled urban transport systems at a very early stage. However, these innovative transportation systems coexisted with more traditional and time-proven modes of transportation for nearly 150 years. This unique blend of old and new technologies played a significant role in shaping the urban landscape and transportation infrastructure of these cities, with far-reaching consequences for their economic, social, and environmental development. The early adoption of steam-powered urban transport in Istanbul and other Eastern Mediterranean port cities served as a catalyst for growth and modernization, but it also raised important questions about the impact of technological change on urban planning, public health, and social inequality. As cities continue to grapple with the challenges of rapid urbanization and technological innovation, the experiences of Istanbul and other Eastern Mediterranean port cities offer valuable lessons for policymakers, urban planners, and scholars seeking to create more sustainable, equitable, and resilient urban environments.