The Belt and Road (B&R) initiative creates a highly competitive and dynamic environment and cooperation network for construction projects in specific regions. By using the experience of other countries, construction professionals can be well-equipped with management skills for solving intractable problems during the project management process of a construction project. Value management (VM) is a systematic team decision-making methodology used to achieve the best project value, but it is rarely applied in developing regions along the B&R. This study aims to identify critical success factors for the implementation of VM in construction projects in both developed and developing regions along the B&R. Six focus groups targeting three groups of regions were conducted, including advanced VM developed regions (Regions 1), advanced VM developing regions (Regions 2), and unadvanced VM developing regions (Regions 3). Three main groups of critical success factors were identified by using contextual analysis: technical process, team behaviors, and outcomes. By comparing VM in advanced VM regions (Regions 1 and Regions 2) and traditional team decision-making in unadvanced VM regions (Regions 3), the study revealed that (1) practitioners in Regions 1 applied VM to achieve project success with a logical process and positive team behaviors, although several problems were also encountered; (2) surprisingly, in some technical respects, VM practitioners in Region 2 performed better than those in Regions 1, but positive team behaviors were still not emphasized; and (3) inefficient traditional decision-making activities with illogical technical processes and negative team behaviors in Regions 3 often led to poor project outcomes. A propositional model is established based on the identified critical success factors and comparison results among the three groups of regions. Finally, several practical recommendations are proposed to ensure effective VM application and promotion in both developed and developing regions along the B&R.