Surgical procedures based on tissue engineering (
TE
) are used every day to reconstruct damaged or diseased tissues. These approaches look for the regeneration of living tissues by combining cells from the body with highly porous scaffold biomaterials decorated with biologically active molecules, signals, which act as templates for tissue regeneration to guide the growth of new tissue. This chapter describes the general concepts and main applications in which
TE
is based. Then, the requirements and types of scaffolds, cells, and signals used for bone tissue engineering (
BTE
) applications are described. The challenges and future research in this growing area are also presented.