This chapter focuses on maintenance management in terms of its operation, procedure, systems, strategies, procurement and structures. Within this chapter, the main components of management activity are discussed: organising, controlling, directing and planning. However, these functions are not dealt with separately. An interactive and holistic system was used. That is, the functions are related to maintenance technology and engineering in theory and how it should be practiced. The literature on the principle of value-based management is also provided. In this way, a common thread is provided by interweaving all the themes and subjects together. Because of the unique nature of building users in relation to the functional requirements of the buildings, each building type has peculiar maintenance management that is applicable in order to improve the building performance as well as increasing productivity, user satisfactions and profits. After studying this chapter, you should do the following: (1) Appreciate the unknown factors, issues and elements that are peculiar to maintenance management.