The design and build method of construction procurement has not been widely adopted in the Middle East due to low awareness and understanding of the approach among both clients and contractors in the region. There are also relatively few large contractors with the expertise to manage design and build projects. While design and build can deliver projects faster and at lower cost when implemented properly, many clients in the Middle East are hesitant due to less established relationships between clients and contractors and less robust building regulations compared to Western countries. However, as trust levels grow between clients and experienced design and build contractors, experts believe this procurement method will become more common in the Middle East in the next few years.