Getting enough exercise considerably reduces health risks and improves mood, strength, and quality of life. An increased overall quality of life sounds appealing, so why are a large number of people falling short of the guidelines for daily physical activity? There is a well established link between health-related behavior and how we build our towns and cities. Focusing on pedestrian and bicycle infrastructure, as well as land use design is an effective strategy for creating achievable health benefits. Encouraging mixed-use development with convenient access to parks, healthcare, schools, jobs, and other vital resources are viable options for promoting physical health.