Over the past few decades, construction practitioners have been facing the challenges of high quality demand and high labour cost. Building construction with precast concrete structural elements (PCSEs) is one of the initiates used to overcome these challenges. In 1990, PCSEs were introduced in the construction industry of Hong Kong. As from 1997, it became mandatory to use PCSEs in the construction of Hong Kong Public Housing. So, it was worth to investigate the effectiveness of PCSEs in the building construction of Hong Kong. For this reason, this study was focused on why PCSEs are widely used and how to manage their use so as to achieve the benefits. The book is basically aimed at construction practitioners especially for those who are responsible for site management. It will be of value to the researchers in conducting studies in the construction industry. The book will also be of value to academics, undergraduate and postgraduate students on building, construction, surveying and management courses.