Osteological collections are an essential source of information on human biological and cultural variability, providing insights about developmental, evolutionary, and biocultural processes. Among osteological series, documented human osteological collections (DHOC) are especially useful due to the opportunity to control biological parameters such as age-at-death and sex, which are typically unknown in archaeological or forensic cases. Raising ethical concerns about the collection, management, and study of human remains poses anthropologists with renewed responsibilities. These issues become especially pressing when dealing with DHOC. In this contribution, we discuss the scientific value and ethical issues characterizing DHOC using as case study the documented human osteological collections of the University of Bologna. This series includes more than 1000 individuals from Northern Italian and Sardinian cemeteries and is among the largest in Europe. It represents the basis for ongoing research on a large range of methodological studies, especially focused on the reconstruction of biological profile. After outlining the scientific studies performed on this DHOC, we discuss it in the context of the specific legislation featuring the Italian territory. Finally, we highlight some directions where work can be carried out to better balance scientific research, preservation needs, and ethical concerns, stressing the advantages of modern imaging techniques.