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“This paper identifies the factor groupings of a set of 19 critical success factors (CSFs) associated with managing PPP projects at the operational stage and examines the most significant factor grouping using fuzzy synthetic evaluation technique (FSE). The paper adopted a comprehensive review of pertinent literature and an empirical questionnaire survey geared towards targeted international PPP experts. Survey responses were analyzed using factor analysis and FSE modelling. The results from factors analysis show five CSF groupings (CSFGs) for managing operational PPPs. These are proficient service delivery and adequate legal structures, simplified payment mechanism and consistent project monitoring, effective contract variations management, suitable stakeholder management mechanism, and environmental health and safety control. The FSE modelling shows that ‘simplified payment mechanism and consistent project monitoring’, is the most critical CSFG. The operational management CSFs under this grouping are acceptable level of user fee charges, efficient and well-structured payment mechanism, consistent project performance monitoring and long term demand for public facility.”