This study presents an efficient method for optimum design of plate and shell structures, when the design variables are continuous or discrete. Both sizing and shape design variables are considered. First the structural responses such as element forces are approximated in terms of some intermediate variables. By substituting these approximate relations into the original design problem, an explicit nonlinear approximate design task with high quality approximation is achieved. This problem with continuous variables, can be solved by means of numerical optimization techniques very efficiently, the results of which are then used for discrete variable optimization. Now, the approximate problem is converted into a sequence of second level approximation problems of separable form and each of which is solved by a dual strategy with discrete design variables. The approach is efficient in terms of the number of required structural analyses, as well as the overall computational cost of optimization. Examples are offered and compared with other methods to demonstrate the features of the proposed method.