Value Engineering or Value Management is considered an effective systematic approach to resolve problems and improve the value (Problem Solving & Value Improvement Methodology) proven in most countries of the developed world, which it focuses firstly on effectiveness by analyzing function or functions needed to be achieved and identify goals, objectives, needs, requirements and desires, and then looking at efficiency by determining the standards of quality with the least total economical costs (Life Cycle Cost, LCC) and not only the initial costs The approach of value engineering can deal with the culture of an establishment and training staff to achieve its objectives and the development of results in record time better than the other methods that deal with issues of quality and cost such as total quality management (TQM) or p < /strong>rocess restructuring (BPR), at any stage of an engineering project like design, implementation or maintenance, which supports the process of evaluating the success of planning, design and implementation of those projects and to achieve the desired objectives, Therefore, the research aims at shedding light mainly on the methodology, style and effectiveness of value engineering as one of the methodologies and techniques developed in recent times that support the process of evaluation and success of the process in the phases of design, awarding and execution of vital regional projects without compromising quality and task of those projects, this with recognizing one of applications which have been introduced in the balance between the problem of mismatch between what is made in the general budget and cash flow of vital regional govenmental projects such as the establishment of the Teaching Hospital (400-beds) Al-Ahsa, Saudi Arabia and the real cost through the awarding process of a project with maintaining the functional and designing and quality standards for the implementation of that project.