As urbanization intensifies and high-rise buildings dominate skylines, the demand for high-speed elevators continues to rise. This review explores their aerodynamic characteristics and vibration performance, focusing on safety, comfort, and efficiency. Key aerodynamic aspects include drag reduction, ventilation optimization, and pressure management, supported by innovations in cabin design and hoistway configurations to enhance airflow and reduce noise. Vibration issues, caused by rail irregularities, aerodynamic forces, and structural dynamics, are addressed through advanced damping systems and smart technologies, such as AI-based monitoring and digital twins. Sustainable practices, including energy-efficient materials and designs, further enhance performance. Improving comfort is inseparable from enhancing the efficiency and safety of high-speed elevators, and the integration of aerodynamic solutions, advanced vibration systems, and interior design innovations represents a fundamental step towards meeting the future demands of ultra-tall buildings. Future innovations may draw on biomimetics for cabin shapes, optimized structures to minimize drag and pressure fluctuations, and improved vibration control algorithms that balance cost and sustainability. The research was selected based on its novelty, direct relevance to the topic, diversity of methodologies, and practical importance.