In the entire construction procurement structure, construction procurement makes up the largest part both by the total number of purchases and by the total volume of public procurement; therefore, construction procurement affects the sector and the construction sector plays an essential role in the overall economy of Latvia and its activities. The design and build approach is considered to be an effective project procurement method in which one organisation, in compliance with the concluded contract, is responsible for both design and construction. It is believed that the design and build approach is a leading trend in the construction industry and it is becoming more and more popular all over the world. The aim of the research is to find out whether the design and build approach is used in Latvia, to describe the past experience, and to identify the benefits for the industry from the use of this approach. Within the framework of the research, the following methods have been used: the analysis method of specialised theoretical literature, empirical data analysis, unstructured interview and comparison method. The main conclusions of the research are the following: using the design and build approach, it is possible to ensure a faster construction process, reduce construction costs, provide a quality construction process. There are also drawbacks: the contracting authority’s control over the design and construction process decreases, the hardly predictable contract price etc. In Latvia construction projects, using the design and bid approach are not very common, even in spite of the advantages of the approach.