This study examines the factors contributing to air pollution in Tehran and its impacts on the environment and human health. Motor vehicles are the largest source of pollution, contributing up to 70% of emissions. Other sources include industrial activities and specific weather conditions like temperature inversions. Air pollution in Tehran exceeds permitted levels, with pollutants like SO2, NO2, CO and lead strongly correlated with increased respiratory issues. Recommendations include reducing vehicle usage, improving public transportation, restricting urban growth, and transferring industrial activities outside the city.