Prolonged drought which has occurred everywhere around the world has caused water shortages, leading many countries to consider more sustainable practices, which are called source management practices (SMPs) to ensure water availability for the future. SMPs include the practices of water use reduction, potable water substitution and wastewater volume reduction such as water demand management, rainwater harvesting, greywater recycling and sewer mining. Besides the well known advantages from SMPs, they also contribute to the alteration of wastewater characteristics which finally affect the process in downstream infrastructure such as sewerage networks. Several studies have shown that the implementation of SMPs decreases the wastewater flow, whilst increasing its strength. High-strength wastewater can cause sewer problems such as sewer blockage, odour and corrosion. Yet, not all SMPs and their impact on existing sewer networks have been investigated. Therefore, this study reviews some examples of four common SMPs, the wastewater characteristics and the physical and biochemical transformation processes in sewers and the problems that might caused by them, and finally the potential impacts of those SMPs on wastewater characteristics and sewer networks are discussed. This paper provides sewer system managers with an overview of potential impacts on the sewer network due to the implementation of some SMPs. Potential research opportunities for the impact of SMPs on existing sewers are also identified.