With the scale and cost of geotechnical engineering projects increasing rapidly over the past few decades, there is a clear need for the careful consideration of calculated risks in design. While risk is typically dealt with subjectively through the use of conservative design parameters, with the advent of reliability-based methods, this no longer needs to be the case. Instead, a quantitative risk approach can be considered that incorporates uncertainty in ground conditions directly into the design process to determine the variable ground response and support loads. This allows for the optimization of support on the basis of both worker safety and economic risk. This paper presents the application of such an approach to review the design of the initial lining system along a section of the Driskos twin tunnels as part of the Egnatia Odos highway in northern Greece. Along this section of tunnel, weak rock masses were encountered as well as high in situ stress conditions, which led to excessive deformations and failure of the as built temporary support. Monitoring data were used to validate the rock mass parameters selected in this area and a risk approach was used to determine, in hindsight, the most appropriate support category with respect to the cost of installation and expected cost of failure. Different construction sequences were also considered in the context of both convenience and risk cost.