Scholarship demonstrated the major role of inheritance and kinship for elite’s power reproduction, particularly among noble families. In the absence of monarchic and court structures, ruling classes that enjoyed privileges and engaged in social closure could become the functional equivalent of a nobility. In this paper, we examine the evolution of the power of Swiss patrician families in the three major Swiss cities (Basel, Geneva, and Zurich) since the end of the nineteenth century and assess whether urban oligarchies endure in the twentieth century and what role kinship ties play in the reproduction of power structures. Building on a systematic database of 5,199 urban elites who hold power positions in the main economic, political, academic, and cultural institutions, we describe the evolution of Swiss patrician families between 1890 and 1957. Using social network, kinship, and sequence analysis, we provide a comprehensive investigation of the Swiss patrician elite’s evolution at both the individual and the family level. Our analyses show a general decline of patrician families’ presence in urban positions of power, however with significant variations according to both the cities and the spheres of activity. Furthermore, we identify distinct trajectories of families who have either lost their access to power positions, managed to access again or have remained in urban power positions according to different survival strategies. Beyond the Swiss case, we contribute to the literature on power and kinship through an interdisciplinary approach combining historical and sociological perspectives.