Background: Nowadays ancient cultural historic sites are considered as a local cultural asset. The cultural historic fabric of Bushehr port is one of the most unique historical urban sites which is confronting destruction because of speedy urban development. Therefore, the viewpoints of the historic fabric inhabitants were investigated to map its pathological pattern through a multidisciplinary approach. Methods: In a descriptive cross-sectional study, the viewpoints of the inhabitants in the historic cultural fabric of Bushehr port was assessed, through a questionnaire, using random cluster multistage sampling method. The questionnaire was based on four dimensions including: social, sanitary, urban and cultural heritage. Results: A total of 218 residential units of the historic cultural fabric of Bushehr port were surveyed. A portion of one fifth of the inhabitants were familiar with cultural heritage item, yet more than 60% of them agreed upon a renovation of the historic fabric of Bushehr. Meanwhile, more than 80% of the residents received no facility to renew their houses. Drug abuses were mentioned as the most important factor regarding insecurity (52.8%). The most important prospect of people from the municipality of the historic fabric of Bushehr port was renewal and renovation of the residential units (36.7%) and 24.9% asked for renovation of pathways and alleys. Providing a sewage collecting network and regular daily gathering of garbage were reported as the most important sanitary need by the inhabitants. Conclusion: The inhabitants of historic cultural fabric of Bushehr port are interested in preserving their residential units as a cultural heritage, but sanitary and urban problems such as sewage and garbage collection system and the lack of patronage from the side of responsible organizations for renovating this Iranian historic fabric architecture are the deep problematic points