Living root bridges are an excellent example of the amalgamation of human innovation and nature. The bridges are grown by methods of tree-shaping using the aerial roots of Ficus Elastica (Rubber fig tree/Indian rubber tree), which grows abundantly in the tropical rainforest regions of Khasi hills, Meghalaya. The practice has been in place for centuries to tackle the issue of crossing robust water bodies. The paper intends to understand the significance of living root bridges in the communities of Meghalaya and their potential to be used as a guiding model for contemporary design practices. It also analyses its impact and usefulness to the communities, and economic growth through domestic and international tourism. © 2021, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.