Sugar Hill was created by the State of Georgia's government in 1939, and when the Sugar Hill was created it was called the Town of Sugar Hill. The town was renamed to the City of Sugar Hill in 1975. Before Sugar Hill was a town, the area was part of a road that went from a railroad stop in Buford, Georgia to the city of Cumming, Georgia. Sugar Hill was named when a large shipment of sugar spilled along the route, and people started calling the area "the hill where the sugar spilled" or "the sugar hill".