Before the September 11 attacks, per agreement with the Saudi Arabian government, all U.S. and Allied aircraft stationed at PSAB were to be of a "defensive" versus "offensive" nature.

During Operation Southern Watch, in addition to Active Component aircraft, the USAF made extensive use of Air National Guard (ANG) and Air Force Reserve Command (AFRC) McDonnell Douglas F-15 Eagle, General Dynamics F-16 Fighting Falcon and Boeing KC-135 Stratotanker aircraft and associated personnel on rotational assignments to PSAB.

In August and early September 1998, Joint Task Force Southwest Asia (JTF-SWA) and its associated Coalition Air Operations Center (CAOC) were in the process of relocating from the Eskan Village complex in Riyadh to PSAB concurrent with construction of a more modern and expanded CAOC at PSAB.

[5] In October 2019, 2,000 U.S. troops joined approximately 700 service members already stationed at the air base,[6] along with deploying B-1B bombers, F-22 Raptor stealth fighters and Patriot missile batteries.

[11] The US Air Force 378th Expeditionary Civil Engineer Squadron is responsible for pest management on the base.