The construction industry in Pakistan is well aware of the challenges it faces and its issues, constraints, and recommendations are also well documented in reports published from time to time. This study shows that business environment (demand-side), Human Resources (HR), equipment and materials are key factors restraining growth therefore showing that there are no short-term fixes for these problems. A sustained long-term committed approach to developing the construction industry (contractors, consultants, and, clients) is of paramount importance. Considering the Government of Pakistan's (GoP) ambitious development plans for the coming years, innovative and out of the box solutions will be required to deliver the proposed infrastructure projects.