The objective of this study was to compile experiences regarding efforts by road authorities to satisfy the needs for efficient maintenance and the results of such efforts. The extent to which maintenance aspects are considered during road planning and design, as a potential for improvement of maintenance efficiency is studied. The study shows that such efforts have in many cases resulted in reduced maintenance costs. However, there are also indications that maintenance standards in some cases have declined, as the focus has been on reduction of the rate of recurring maintenance activities and prioritisation of some maintenance measures, e.g. winter maintenance, over other maintenance measures, e.g. pavement maintenance. The study also shows that efforts towards increased maintenance efficiency have one thing in common – namely that the main focus has been on improving operating practices and maintenance procedures. Road authorities have mostly ignored the improvement potentials that exist during the planning and design process through consideration of the interrelationship between geometrical road design and maintenance.