Metropolitan local governments in Ghana, most especially the Accra Metropolitan Assembly (AMA), have adopted and implemented a policy of decongestion of the large metropolitan cities of Ghana in the past decades. This policy has been implemented with the explicit aim of reducing informal activities and their operators in the central business districts (CBDs) and other key areas of the cities. While the implementation of the policy in Accra, Ghana’s largest metropolis, has been ad hoc in character, owing to a combination of factors such as limited public support and political liability most especially in election years, the policy in both theoretical and practical terms can be described as representing another form of the much criticised classical ‘bulldozing or slum clearance’ approach. Bearing in mind the backlash against the bulldozing or slum clearance approach as an unsustainable means for promoting urban development, city authorities have coined the term ‘decongestion’ as a simplistic approach to clearing areas of the city of Accra they perceive to be undesirable. This chapter reveals wide-ranging negative impacts of these bulldozing approaches on street traders, slum dwellers and other informal operators as well as the political liability of the policy. It also finds that the concept and practice of ‘Right to the City’ has, to a large extent, been ‘back-burnered’ as urban informal operators are regarded as not possessing any rights in public spaces, with serious implications for achieving inclusive and sustainable urban development as highlighted in the Sustainable Development Goals and the New Urban Agenda.