Fiber reinforcement has emerged as an alternative to traditional reinforcing bars and welded wire mesh reinforcement for precast concrete tunnel segments. Due to significantly improved post-cracking behavior and crack control characteristics, fiber-reinforced concrete (FRC) segments offer advantages over traditionally reinforced concrete segments such as saving cost and reducing production time while developing a more robust product with improved handling and long-term durability. Specific guidance on the design of fiber-reinforced precast concrete tunnel segments is needed for this emerging technology. This document offers general information on the history of FRC precast segments from tunneling projects throughout the world, a procedure for structural analysis and design based on governing load cases, and a description of the material parameters, tests, and analyses required to complete the design. The proposed guidelines are based on the knowledge gained from experimental research, analytical work, and the experience gained on numerous FRC precast tunnel projects.