Either way, it could be a tough pill to swallow for lawmakers.
Many members of the Legislature are up for re-election next year, and while the commission says its recommendations will not raise taxes a single penny, steep increases in fees and tolls probably would not play well with votes.
Pizatella admitted moving forward with the recommendations would not be easy.
"I don't think any part of what we've done over the last year will be easy," he said. "There's a political component in everything we do in government."
Tomblin recently expressed wariness to taking out a $1 billion loan to fund road construction.
"I'm not sure a bond issue of that magnitude at this time is something we want to get into, but I'll reserve judgment until I see the final report," he told the Charleston Gazette earlier this month.
Pizatella, who also is the governor's deputy chief of staff, said Tomblin isn't opposed to funding construction with bonds. He just wants to review the commission's final recommendations before making a decision.
"He's a conservative guy. He's made a career in making sure the state doesn't incur bills it can't pay," Pizatella said.
Spokeswoman Amy Shuler Goodwin said Tomblin realizes even small increases to tolls could be a burden on citizens, but believes the option should at least be considered.
"Everything is always considered," she said. A recent engineering study showed West Virginia needs $1.3 billion per year to maintain its current roads while continuing to expand its infrastructure.
Taken as a whole, the Blue Ribbon Commission on Highways' recommendations would generate $1.1 billion over the next several decades.
Pizatella said the commission failed to tackle many issues remain with state road construction, like bridge maintenance and worker pay. As a result, commission members are requesting Tomblin keep the commission intact through 2014.
"I think the needs are there. The recommendations we've adopted are not going to fix all the needs," Pizatella said.
"We're never going to have a perfect system."