In this chapter an overview of processes for fabrication of MEMS using piezoelectric thin films as active layer in planar structures is presented. These structures are used in cantilever-like and membrane configurations for sensing and actuation. Key issues consist in findings of a compatible dry etching sequence for piezoelectric layer, electrodes and silicon. The method of compensation of the gradient of mechanical stresses in the thin films in order to obtain flat multilayer structures is demonstrated. Membrane thickness definition and liberation are obtained by DRIE of silicon on insulator (SOI) substrates or by surface micromachining. The platinum bottom electrode turned out to be a useful mask for deep silicon etching of narrow grooves. The complete process has successfully been used to fabricate flat cantilevers, ultrasonic transducers and pressure sensors. Excellent permittivity and transverse piezoelectric coefficient of PZT and AlN have been obtained with complete devices. Several examples of piezoelectric devices (ultrasonic transducers, acoustic sensor, damping control, RF switches) presented in this paper have been developed during the last years. It has been demonstrated that the microfabrication of piezoelectric MEMS based on PZT or AlN thin films is the versatile and reliable technology. Most of the developments are based on PZT sol-gel textured films, however some efforts have been done for integration of AlN for piezoelectric MEMS. In this context, the advantage of AlN is the low thermal budget processing and the possibility of post-CMOS above-IC integration. Other examples of application like ferroelectric memories, nanopatterning and local growth of PZT are presented as well.326 Electroceramic-Based MEMS: Fabrication-Technology and Applications