Water and wastewater pipes require some of the highest levels of infrastructure investment; they also deteriorate faster than they can be repaired. The use of alternative rehabilitation technologies, which are quicker and less expensive than pipe replacement, has therefore increased significantly in recent years, worldwide. Field studies on relined wastewater pipes removed from buildings in different parts of Sweden revealed the existence of a variety of common defects, most of which could have been prevented by better installation. Increased quality-focused monitoring could help to ensure that relined pipes reach their expected service life, while comprehensive documentation could assist in providing sufficient information to facilitate progress in the field. This paper includes a brief overview of the technologies used in Sweden, current quality control practices, repeated observed defects related to installation, crucial steps that affect final quality, and recommendations to be considered in the contexts of detailed quality control and quality assurance procedures.