Urban health is the recent agenda in India. While it’s in developmental phase need to consider climate change in urban health planning have strongly emerged. Due to its location, socio demographic profile, industrialisation, floods and climate events Surat city is vulnerable to climate change. Urban health and Climate resilience centre is the first of its kind centre in India developed under seed funding support of Rockefeller foundation under ACCCRN project. UHCRC is executed by Health Department of Surat Municipal Corporation (SMC) and is governed by Surat Climate Change Trust (SCCT). Rising temperature is almost the universal phenomena and scientists are researching and reporting its impact on health, development and productivity. “Amdavad heat action plan 2014” is the first plan in Asia and has drawn attention of all the cities for action. Every city is different and such initiative of one city is a guide for other cities. Amdavad is in arid zone while Surat city is in semi arid zone. Major difference of weather of Amdavad and Surat is in extreme temperature level, its duration and days, humidity and sea breeze. Surat analysis of 2010 shows 224 additional all cause deaths in summer. UHCRC initiated research on Heat and Health in coastal city Surat in 2013 and has now prepared evidence based “Heat and health Action Plan – Surat (HHAP-S)” the first coastal city plan in India. Phase I of the HHAP-s is being piloted in 2016 summer.