Our reflections on recent treatment of African urbanisation begins with the assertion that implicit recognition and acceptance of "rapid urbanisation" as a legitimate and primary cause of urban management challenges'e.g. poverty, slum development, haphazard development, etc.'has impoverished the appreciation of other fundamental causes of poor urban functionality in Ghanaian cities. This article argues that urban planning practice in Ghana has contributed to the many urbanisation challenges in Ghanaian cities, yet remains critical if rapid urbanisation is to be effectively managed. The article provides some useful policy directions to managing rapid urbanisation in Ghana.