The concept of sustainable development provides for the search for environmentally friendly alternatives to traditional materials and technologies that would reduce the amount of CO2emissions into the atmosphere, do not pollute the environment, and reduce energy costs and the cost of production processes. These technologies include the production of geopolymer concretes. The purpose of the study was a detailed in-depth analytical review of studies of the processes of structure formation and properties of geopolymer concretes in retrospect and the current state of the issue. Geopolymer concrete is a suitable, environmentally friendly and sustainable alternative to concrete based on ordinary Portland cement (OPC) with higher strength and deformation properties due to its more stable and denser aluminosilicate spatial microstructure. The properties and durability of geopolymer concretes depend on the composition of the mixture and the proportions of its components. A review of the mechanisms of structure formation, the main directions for the selection of compositions and processes of polymerization of geopolymer concretes has been made. The technologies of combined selection of the composition of geopolymer concrete, production of nanomodified geopolymer concrete, 3D printing of building structures from geopolymer concrete, and monitoring the state of structures using self-sensitive geopolymer concrete are considered. Geopolymer concrete with the optimal ratio of activator and binder has the best properties. Geopolymer concretes with partial replacement of OPC with aluminosilicate binder have a denser and more compact microstructure due to the formation of a large amount of calcium silicate hydrate, which provides improved strength, durability, less shrinkage, porosity and water absorption. An assessment of the potential reduction in greenhouse gas emissions from the production of geopolymer concrete compared to the production of OPC has been made. The potential of using geopolymer concretes in construction practice is assessed in detail.