Sustainability is now recognised as a key issue that must be addressed in the design, construction and lifelong maintenance of civil engineering structures. This paper briefly discusses the generic aspects of sustainability, but the main focus is its application to bridges. Motorway bridges built in the 1960s and 1970s had design lives of 120 years; many, however, were showing signs of deterioration after only 20–40 years. This led to much (ongoing) debate on the issue of initial versus full life-cycle costing. In order to address the highly complex issue of the sustainability of bridges, this paper considers the following specific areas that impinge on this important subject: the impact on sustainability of different forms of bridge construction and maintenance/repair/replacement strategies; the utilisation of innovative in situ testing equipment for assessing the long-term durability of concrete; the development of innovative structural designs for bridges that inherently have greatly extended lives at minimal, if any, additional cost.