The role of construction quality and continuous improvement is vital in the development of construction industry of developing countries. Construction quality and continuous improvement is linked with the adoption of quality management systems in construction companies. This paper highlights the importance of TQM (Total Quality Management) and presents the benefits of TQM gained by construction organizations in worldwide construction sector. It examines and contrasts the level of acceptance and execution of TQM in construction and manufacturing sector of Pakistan. The paper also identifies the barriers in adoption of TQM and advantages of implementing TQM in construction sector of Pakistan. In the end, the paper presents some suggestions and steps for the implementation of TQM in construction companies of Pakistan. The findings and recommendations of the study are not only beneficial for the construction sector of Pakistan but also these will be helpful to other developing countries having similar scenarios.