Urban growth and change in Downtown Toronto is proceeding at an unprecedented rate. While this is indicative of a robust economic climate and vibrant streetscape, the pace of this development presents a host challenges to City of Toronto as it attempts to maintain a high quality of life for its residents. This discussion considers quality of life in the context of growth related pressure Downtown Toronto at three difference scales, flowing from resident priorities expressed in two recent surveys of residents in high-density communities. Using a mixed methods research approach, primary survey data is complemented with key informant interviews. Discussion touches on issues of small living spaces, a perceived lack of diversity in housing options, the need for public realm enhancement, and the potential of the Development Permits System as a alternative planning framework to improve quality of life for current and future Downtown residents.