Pressurized Water Transport Systems (PWTSs) are responsible for a large percentage of the electricity consumption around the world, and current trends suggest that this proportion will continue to increase in the future. Controlling PWTS is therefore fundamental, including improving efficiency when necessary or compulsory. To achieve this, metrics to objectively assess the efficiency of the different losses and of the whole system are needed. These metrics, based on economic criteria, will be stricter if environmental costs are added to current water and energy costs. To assess different improvement strategies, some relative metrics, applied to both operational and structural losses, are considered. At the end, taking into account their relevance, these metrics are combined in a global energy score (IS), this being the main contribution of this paper. Finally, to focus on the concepts and methodology, a simple case study is presented.