NiTi shape memory alloys (SMAs) are used in a broad range of biomedical applications because of their unique properties including biocompatibility and high corrosion and wear resistance as well as functional properties such as superelasticity and the shape memory effect. The combination of SMAs and additive manufacturing can lead to revolutionary changes to the uses of SMAs in the biomedical industry. This article discusses the potential biomedical applications of NiTi that benefit from the AM process. We share the lessons learned in processing NiTi alloys with a focus on the laser powder bed fusion (LPBF) technique. The manufacturability, build quality, stable phases and transformation temperatures, microstructure, thermomechanical properties, microstructure tailoring, and functional properties of NiTi alloys produced via AM processing are reviewed. Current challenges such as expanding the process window, controlling the chemistry, and the performance and property responses are discussed, and potential opportunities including alloy design are discussed.