Concrete infrastructure is crucial to services and economic activities of modern civilization. Unfortunately concrete deteriorates due to several causes including mechanical deterioration, like impact or excessive loading or deterioration due to physical causes like erosion or shrinkage. More frequently, however, it deteriorates by chemical detrimental reactions when it is exposed to environmental conditions containing chlorides from seawater or from de-icing salts and other aggressive media. Climate change is also being increasingly responsible for premature deterioration of concrete infrastructure. As a consequence, worldwide concrete infrastructure repair rehabilitation needs are enormous and the costs are staggering. This book provides an updated state-of-the-art review on eco-efficient repair and rehabilitation of concrete infrastructure. Presented over three parts; the first part reviews service life estimation, monitoring of concrete structures, durability performance, and field assessment. Part II focuses on innovative materials for repair and rehabilitation including geopolymers, ECC, and materials with self-sensing properties. Part III addresses eco-efficient and cost-effective design, accountability of climate change impacts, and includes case studies using life cycle analysis and life cycle cost analysis.