A large community of Nawar settled in Saraqib during the Ottoman era. Along with Khan Shaykhun and Ma'arat al-Numan, Saraqib is well known for its elaborate black cotton cloth embroidery.
The town of Saraqib lies at a strategic junction of the Aleppo-Damascus and Aleppo-Latakia roads. Since the outbreak of the Syrian civil war, from at least April 2011, the town has seen popular opposition to Bashar al-Assad's government. The Syrian Observatory for Human Rights claimed that over 200 anti-government activist suspects were arrested when Syrian security forces captured the city on 11 August 2011. Syrian government forces recaptured the city in the Battle of Saraqib, 24–27 March 2012. On 19 July 2012, at least 25 people were killed in Syrian Army shelling following a raid by a Free Syrian Army unit based in the city on a Syrian Army checkpoint. Between 30 October and 1 November 2012, al-Nusra and Liwa Dawudthen a sub-unit of Suqour al-Shamcoordinated an attack on three government checkpoints at entrances to the town. On 23 January 2017, Ahrar al-Sham captured Saraqib from Jabhat Fatah al-Sham. On 19 July, 2017 the Hay'at Tahrir al-Sham alliance, which was created after the merger of Jabhat Fatah al-Sham and other rebel factions, recaptured the city from Ahrar al-Sham militants. Saraqib was bombed in September 2017 as part of a government/Russian offensive against rebel territories in Idlib and Hama. On 3 February 2018, Russian military pilot Roman Filipov's Su-25SM jet was shot down by Tahrir al-Sham and Jaysh al-Nasr militants over the Idlib Governorate, near the town of Maarrat al-Nu'man, or the town of Saraqib, according to other sources, with a shoulder launched surface to air missile. He committed suicide by blowing his grenade to avoid capture. On 15 October 2018, the Guardians of Religion Organization which is al-Qaeda's branch in Syria published a video in Saraqib which showed the group's religious police, the hisbah, driving around the city with loudspeakers calling on people to adhere to sharia. In July 2019, Hayat Tahrir al-Sham raided an ISIL base in the city, arresting several individuals including an individual reportedly associated with ISIL's leader Abu Bakr al-Baghdadi, resulting in clashes between ISIL and HTS fighters during the fighting several improvised explosive devices were detonated by ISIL. On 6 February 2020, the city fell to the Syrian Army in the 5th Northwestern Syria offensive, but had been retaken weeks later by 26 February during a Syrian opposition and Turkish counter attack. On 1 March 2020, Saraqib was once again under Syrian Army control. On 2 March 2020, Russia's Reconciliation Centre in Syria announced that Russian Military Police had been deployed to the city.
