Maintenance is defined as the combination of all technical and associated administrative actions intended to retain an item in, or restore it to, a state in which it can perform its required function. Whereas Sustainability is considered as an appropriate framework to gather all efforts aimed at improving the built environment through the development of social, economic and environmental aspects. The problem this paper has to deal with is the inefficiency of current maintenance management practices of sustainable buildings. The purpose of the study is to examine the relationship between maintenance and sustainability in buildings. This study counts upon a literature review to investigate the importance of maintenance, approaches to sustainable building maintenance, relation between maintenance and sustainability, sustainability-related trends of maintenance management, building maintenance management and frameworks for maintenance and sustainability processes. Upon examining the previous discussed topics, a number of focal points and gaps have been found ,these include; the elements of sustainable agenda to be taken into consideration for New buildings; the detailed factors of sustainability that have an effect on maintenance, the impact of maintenance on sustainable buildings; meaning how far sustainable strategy has an effect on maintenance and explaining the correlation between maintenance and sustainability, other current and futuristic maintenance management trends that should be applied to sustainable buildings, in addition ,a gap has been detected in the analysis of case studies and international examples for using sustainable factors in maintenance management, the frameworks that are concerned with the relation between sustainability and maintenance in buildings.