Updated July 26, 2023
Back in the Strip's infancy when Las Vegas hotels were more like motels, many featured balconies that looked out onto the Strip or the pool area. But today, few Strip rooms have outdoor access and we can think of a number of reasons for this.
For one thing, Nevada has one of the highest suicide rates in the nation and jumping (be it from the Strat, Hoover Dam, upper-level parking garages, overpasses, or hotel balconies) is a popular choice. Hence, most hotels don't even have windows that open, let alone balconies.
Another reason is almost certainly the climate. During many months of the year, being outside isn't a desirable option. And this ties in with a third reason: the additional expense both of building balconies and of air-conditioning a hotel with open windows.
Bugs are another issue. In the springtime when the weather's at its most inviting and sitting outside on your balcony to watch the lights come up on the Strip might seem like a pleasant early-evening activity, you run the risk of admitting some unwanted visitors into your room.
And, of course, added to the expense, this is a city that wants its guests down on the casino floor or at least eating a meal or catching a show. It's well-known that the policy, up until a few years ago, was to make the standard hotel rooms functional, but not so comfortable that guests would want to hang out in them too much. Hence, it's not such a surprise that the non-gaming off-Strip Platinum Hotel on E. Flamingo does offer private balconies, as does the Virgin, which pretty much wants you to party wherever you are, while the majority of hotel-casinos don't.
That said, some properties do offer this amenity, although few of them afford views of the Strip. And a word of caution: Several hotels we called stated that they had suites with "balcony views," which as far as we can tell simply means that they have large windows!
A few casualties along the way include Harrah's, which used to have some rooms with balconies overlooking the pool, but have all now been converted to offices, while some of the older low-rise "courtyard" rooms at the Tropicana still have balconies, but they're not currently available to book (they're only using the tower rooms).
So, according to our latest research, here are the current options balcony-wise if you're staying on the Strip (or, in the case of Hooters, just off it).
Cosmopolitan: This property prides itself on breaking with the norm and one significant way is to include balconies with many of its rooms (the smallest "City Rooms" don't have them). The majority of them face the Strip, while some face Bellagio or CityCenter.
OYO: Some of the rooms have balconies, either overlooking the pool or toward the Strip.
MGM Grand: Patios are available in the Terrace Suites (total of 14) -- 1,300-square-foot two-story rooms with 800-square-foot patios complete with hot tubs. These have views looking out toward New York-New York and Excalibur. Also, some of the rooms at MGM Grand's Signature have balconies, mostly facing the Strip. Ask when booking.