Green building (GB) has been viewed as an effective means to implement environmental, economic, and social sustainability in the construction industry. For the adoption of GB technologies (GBTs) to continue to succeed and gain popularity, a better understanding of the key issues influencing its progress is crucial. While numerous studies have examined the issues influencing green innovations adoption in general, few have specifically done so in the context of GBTs. This study aims to investigate the underpinnings of GBTs adoption in the following areas: (1) the critical barriers inhibiting the adoption of GBTs, (2) major drivers for adopting GBTs, and (3) important strategies to promote GBTs adoption. To achieve these objectives, a questionnaire survey was carried out with 33 GB experts from the United States. Ranking analysis was used to identify the significant issues associated with GBTs adoption. Resistance to change, a lack of knowledge and awareness, and higher cost have been the most critical barriers. The major drivers for adopting GBTs are greater energy- and water-efficiency, and company image and reputation. The analysis results also indicate that the most important strategies to promote the adoption of GBTs are financial and further market-based incentives, availability of better information on cost and benefits of GBTs, and green labeling and information dissemination. The findings provide a valuable reference for industry practitioners and researchers to deepen their understanding of the major issues that influence GB decision-making, and for policy makers aiming at promoting the adoption of GBTs in the construction industry to develop suitable policies and incentives. This study contributes to expanding the body of knowledge about the influences that hinder and those that foster GBTs implementation.