Relining is one of the best alternatives available today for pipe system rehabilitation. This trenchless solution is particularly interesting for urban agglomerations, as a smaller diameter pipe is pushed or pulled through the old pipeline. Relining creates a leak-tight “pipe within a pipe” system, which is as good as new in both structural and hydraulic terms. Relining can be performed with both circular and special, non-circular (NC) profiles. The latter is especially advantageous for the rehabilitation of old sewers, many of which were constructed in a variety of ovoid-like shapes. This paper presents the typical steps that are performed for pipeline rehabilitation with non-circular profiles, as well as an applied case study (a project implemented in the city of Würzburg in Germany).