This study identifies critical ESG decision factors for road pavement maintenance during the design phase, which dictate approximately 80% of infrastructure performance outcomes. A two-stage analytical framework was employed. First, the fuzzy-Delphi method filtered 72 industry indicators into 20 core factors based on expert consensus (defuzzification value≥0.7). Second, a revised importance-performance analysis prioritized these factors across five regional types (urban, mountainous, rural, coastal, and expressway) using a 10-member expert panel. Results revealed distinct regional priorities: urban areas emphasized low-noise construction, mountainous areas focused on ecological restoration, coastal areas prioritized durability, and expressways required worker safety system integration. Climate risk assessment (G10) and pollution prevention (E19) emerged as priorities across all regions. These findings prove that ESG evaluation in road maintenance must incorporate weighted regional differentiation rather than uniform criteria. Policy recommendations include implementing mandatory regional ESG checklists in design guidelines and establishing BIM-integrated performance-tracking systems.