This document provides guidelines for the design and construction of under-reamed piles. Under-reamed piles are bored cast in situ or bored compaction concrete piles that have one or more enlarged bulbs formed along the pile stem. They are used in a variety of soil conditions to provide increased bearing capacity, anchorage against uplift, and to reach firm strata below weak or filled soils. The document outlines the necessary site investigation and structural design information required for the satisfactory design and construction of under-reamed pile foundations. It also defines relevant terminology and describes the types and purposes of different pile load tests.