The demand for a sustainable built environment is no longer a matter of personal choice, and sustainability performances need to be integrated within all activities in the construction projects. Growing performance objectives, including sustainability with several conflicting performance criteria, impose the application of tools based on a multicriteria decision-making (MCDM) approach for ranking and selecting sustainable building materials to consider all performance criteria simultaneously. Because both weights of criteria and sensitivity of decisions significantly influence the outcome of the decision-making process, it is important to pay particular attention to both the consistency of judgments by the experts in the field and sensitivity analysis. MCDM approach must allow interfacing with other engineering tools to evaluate performance metrics. This chapter examines the process of ranking and selecting sustainable building materials using the MCDM approach and illustrates how sustainability performance can be integrated into the materials selection process for construction projects.