The behavior of pipe bends is characterized by significant deformations and stresses, quite higher than the ones developed in straight pipes with the same cross section. Under bending loading (in-plane and out-of-plane), the main feature of the response is cross-sectional ovalization, which influences bending capacity and is affected by the level of internal pressure. Bends subjected to cyclic in-plane bending exhibit fatigue damage, leading to base metal cracking at the elbow flank. Using advanced finite-element tools, the response of pipe elbows in buried pipelines subjected to ground-induced actions is also addressed, with emphasis on soil-pipeline interaction. Finally, the efficiency of special-purpose finite elements for modeling pipes and elbows is briefly discussed.