The damage resulting from the Great East Japan Earthquake (GEJE) and subsequent tsunami necessitated a re-evaluation of the way land is used in the affected areas. Despite receiving various reconstruction subsidies, many disaster-affected municipalities have struggled in their rebuilding efforts under various difficulties: scarce resources, a sharp increase in construction costs, a shortage of expertise, and the strict application of the new tsunami mitigation rule (Two-Two Rule). However, it has been difficult to track these continuous challenges and struggles. Most reconstruction decisions are made at the municipal level, and the information is not widely shared. The author has participated in many reconstruction projects as an architectural planner and a reconstruction advisor. Based on the outcome of recent studies and the author’s own practical experiences, this article aims to show the actual status and challenges of reconstruction works after the GEJE.