This study was an attempt to investigate the collection development and management activities in the university libraries of Khyber Pakhtunkhwa (KPK), Pakistan. Survey method was employed to conduct the research. The study covered all those well-established public and private sector universities of the province which were chartered by the Government of KPK, and recognized by Higher Education Commission (HEC) till December 31st, 2015. Based on this criterion 17 public and 9 private sector universities were selected (Public= 17 and Private = 9, Total 26 universities). The population of this study were the professional librarians working in the central libraries of both public and private sector universities of KPK. Data were collected through a structured questionnaire from the target population. The study found that all public and private sector universities develop and manage their collections according to requirements of the patron community.