The delivery of complex capital programs worldwide is challenging. Capital programs today continue to grow in scale and complexity; face growing human and critical material resource constraints; require global resources or compete for them; and are increasingly vulnerable in terms of schedule, quality and cost. Program management in the engineering & construction industry can provide execution certainty by putting into place the organizational, management and supporting frameworks prerequisite for the successful delivery of large capital programs. The writer reviews the ingredients of a successful program management approach and specifically differentiates it from good project management. While many of the tools and techniques of successful program management are similar to those applied in project management, the focus differs in some fundamental and important ways.