The study aimed to evaluate the practices and applications of project management in the implementation of health sector projects by applying to the maintenance and development project of Zliten Central Hospital as a case study, focusing on a problem that can be identified that despite the remarkable development in the mechanisms, means and techniques of construction companies and consulting offices to manage the implementation of construction projects, it may appear Some weaknesses and negatives in the professionalism and performance of these specialized bodies, and this weakness may be accompanied by improper planning and a lack of accurate understanding of engineering planning, which leads to a loss of control over the control components of the engineering project. The study concluded with a set of results, the most important of which are: The project management example does not realize the importance of applying engineering methods in project management and planning, which led to poor planning of project resources, the most important of which is the time resource, and that the application of engineering management methods leads to reducing the project time, which became clear that the project time It has been reduced to 18 months instead of 22 months. The application of engineering management methods also leads to control over project costs such as the earned value method, and the use of engineering management methods shortens the project completion time without affecting the cost and project quality.