The information and communications (ICT) design and construction process has evolved significantly over the past 20 years, with a significant advancement of incorporating ICT designs into the overall architectural/engineering (A/E) design process. Not too long ago, ICT designs were an afterthought, and planning lacked at the proper stages (i.e., conceptual/schematic design); while still not perfect, ICT project requirements are being driven early and often by end users, engineers, designers, integrators, etc. Early onboarding of the ICT design team allows for a holistic approach to the design and integration of ICT systems on a project versus a rush at the end of a project (when ICT systems are installed) to get systems commissioned and complete the project turnover process. This article will aim to convey how the process is evolving and where we are going from here, with the evolution from design/bid/build (DBB) to alternate (i.e., LEAN) project delivery methods, including design-build (DB), design-assist (DA), and integrated project delivery (IPD). In addition, the importance of 3D modeling programs required to design, schedule, and deliver a coordinated design and specification not only with the A/E design partners but with the trade contractor partners as well, will be reviewed. At this point, most projects of size are not DBB as there is too much risk involved with not incorporating a holistic approach from the earliest onset of a project.