This document discusses approaches to reduce risk and construction costs for foundation projects in the Middle East and North Africa region. It outlines that the common geotechnical approach in the region involves standalone ground investigation contractors providing conservative and uneconomic foundation solutions. An alternative approach involves early involvement of a specialist geotechnical consultant who oversees high-quality ground investigations and interpretations, performs preliminary pile load tests, and provides optimized foundation designs tailored to local geotechnical conditions like weak carbonate rocks. This approach can yield more cost-effective designs through a better understanding of soil and rock parameters and accounting for end bearing resistance, with risk controlled through pile testing. Savings of 25-30% in construction costs are estimated when using this approach.