Treatment selection techniques used in Pavement Management Systems often rely on predefined priorities outlined by state road agency which are subject to priority and engineering judgement. These techniques can be implemented over multi-period planning horizons however doesn't necessarily provide the best possible works program. This paper presents an overview of Pavement Management Systems, then describes and analyses the four main categories of treatment selection techniques employed within these systems. An overview of the Pavement Management System implemented by the Queensland Department of Transport and Main Roads and in particular it's process of treatment selection is outlined. In addition a comparative analysis is then undertaken with each of these treatment selection categories.