This article proposes applying the preference-ranking organization method for enrichment of evaluations (PROMETHEE) II in the selection of the optimal solution and ranking of selected methods for underpinning foundations. Analysis of the selected foundation-underpinning methods was based on a complex decision-making problem that included aspects of the three pillars of sustainable development, and it was extended to include technological and constructional criteria. The study used the following criteria for assessing proposed variants: price, bearing capacity, noise and vibrations, necessary equipment, necessary excavations under final structure, failure rates, and necessary foundation shoring. Analysis using the PROMETHEE II method allowed for identifying strengths and weaknesses of selected methods for underpinning foundations. The PROMETHEE II method enabled to create a ranking of foundation-underpinning methods. Jet-grouting and root-pile methods were the highest scorers in this ranking and those that fulfilled the identified criteria to the greatest extent. Moreover, analysis showed that the PROMETHEE II method was useful in solving problems of choice in the construction industry.