Based on 2030 vision of the Kingdom of Saudi Arabia (KSA), improving the quality of preventive and therapeutic health care services is one of the targets that set out by the National Transformation Program (NTP). Clinical Audit (CA) is one of the great tools of quality improvement worldwide. Although a CA program was initiated just a while ago in Saudi Arabia, in this short duration the maturity of this practice in this country is evident in various documentations. However, it is still a long path to go in this practice as many health professionals are not yet mindful about the positive implications and benefits of this concept. In this consideration, this article was attempted to highlight the concepts, broad principles of and the mandatory stages in implementing CA practice to a success. Apart from that the leadership role in materializing CA, the barriers to its success, as well as, the pattern of CA practice in Saudi Arabian health care system in achieving its maturity have also been outlined.