A high-quality wellbore is generally considered to have a gauge hole, a smooth wellbore and a wellbore with minimum tortuosity. Therefore, dog leg reamers (DLRs) have been recently proposed and implemented to specifically provide a high-quality wellbore which in turn improves the overall drilling performance. These improvements include smoothening the wellbore from high in place dogleg, lowering drag values, improving the tripping performance, increasing the success ratio of wireline logging tools to reach total depths and enhancing the casing and cement jobs. DLRs are an eccentric string reamers which have been recently designed and optimized using modelling software, and a mathematical model has been deduced to specify the weight and torque distribution between the bit and DLR based on mechanical specific energies at bit and DLR with a model accuracy closely matches the field data. A total of twenty five runs all over the world have been performed to date in hole sizes ranging from 12¼″ to 6″. Directional work has also been performed showing good directional control with this system, and no vibration issues have been reported. The development of this down hole tool has added new capability to the industry in the optimization of hole enlargement applications. The benefit is realized in a reduced number of days required to drill the well and in reduced total well cost. In addition, getting casing into the hole sooner reduces the accompanying risks and can contribute to reducing operational nonproductive time. Several case studies from three fields X, Y and Z from Egypt, Oman and Saudi Arabia, respectively, will be discussed to demonstrate the positive economic impact of deploying DLR in not only the deviated holes but also in vertical wells.