Sustainable development is a social and economic development mode pursued by all mankind and has been constantly explored and perfected. In view of how to evaluate the level of urban and regional sustainable development, numerous analytical methods, evaluation indicators, and research model have been put forward by various institutions and scholars around the world. This study analyzes development processes, problems, and research prospects of the satisfaction degree as well as urban and regional sustainable development evaluation. Against the ecological civilization background, the urban sustainable development evaluation needs to be judged by the core connotation of sustainable development, and subjective and objective methods should be used to assess the indicator system. While making full use of objective information to improve the capacity for sustainable urban development, we should consider the residents' demand and satisfaction degree for the urban sustainable development, putting forward the demand to establish an appropriate system for monitoring dynamic indicator, thus building an urban sustainable development mechanism adapted to the ecological civilization.