This chapter aims to present the design and development of a decision support system (DSS) for the analysis, simulation, planning, and operation of maintenance and customer services in electric power distribution system (EPDS). The main objective of the DSS is to improve the decision-making processes through visualization tools and simulation of real cases in the EPDS, in order to allow better planning in the short, medium, and long term.Therefore, the DSS helps managers and decision-makers to reduce maintenance and operational costs, to improve system reliability, and to analyze new scenarios and conditions for system expansion planning. First, we introduce the key challenges faced by the decisionmakers in the planning and operation of maintenance and customer services in EPDS. Next, we discuss the benefits and the requirements for the DSS design and development, including use cases modeling and the software architecture. Afterwards, we present the capabilities of the DSS and discuss important decisions made during the implementation phases. We conclude the chapter with a discussion about the obtained results, pointing out the possible enhancements of the DSS, future extensions, and new use cases that may be addressed.