Sustainable or green building practices have been adopted by most higher education institutions for their new campus buildings, major renovations and daily operations. This paper provides a synthesis of opinions and existing practices related to water conservation in institutional green buildings of member institutions of APPA (formerly the Association of Physical Plant Administrators). A specific focus regarding waterless urinals and their operation was attempted. A web-based survey and follow-up one-to-one interviews were utilized to extract information and data from these industry professionals. The survey evaluated the institution's use of policy related to sustainable building practices and focused on their approaches to water conservation. Regional preferences are provided and barriers to some water conservation practices and approaches have been identified. Operational challenges are evident, particularly as they relate to waterless urinals. It is clear that higher education institutions are engaging in water conservation practices across Canada and the United States. This work contributes to a foundation for future research and analysis related to best-management practices for water conservation in the higher education sector.