pipe networks assure the transportation of primary commodities such as water, oil, and natural gas. The quantitative and early detection of defects in pipes is critical in order to avoid severe consequences. As a result of high-profile accidents and economic downturn, research and development in the area of pipeline inspection has focused mainly on gas and oil pipelines. Due to the low cost of water, the development of nondestructive inspection (NDI) and structural health monitoring (SHM) technologies for fresh water mains and sewers has received the least attention. Moreover, the technical challenges associated with the practical deployment of monitoring system demand synergistic interaction across several disciplines, which may limit the transition from laboratory to real structures. This paper presents an overview of the most used NDI/SHM technologies for freshwater pipes and sewers. The challenges that said infrastructures pose with respect to oil and natural gas pipeline networks will be discussed. Finally, the methodologies that can be translated into SHM approaches are highlighted.