Let us repeat the title question: Do project owners need help transforming to lead megaprojects? Studies by the Independent Project Analysis (IPA) and others have clearly identified a few key facts. The facts include project owners that manage their own projects directly, achieve better results than if the projects were managed by external parties. Another finding is that about half of their clients (IPA) have an organizational project management system (OPMS) that are poor or in needs of drastic improvements. Therefore, considering these two facts, then we raise more questions.