Trenchless technologies have emerged as a viable alternative to traditional open trench methods for installing underground pipelines and conduits. Pilot Tube Microtunneling, also referred to as the pilot tube system of microtunneling, guided auger boring, or guided boring method, is a recent addition to the family of trenchless installation methods. Pilot tube microtunneling originated in Japan and Europe, and was introduced to the United States in the year 1995 (Boschert 2007). Since then this methodology has seen increased utilization across North America particularity in municipal markets for the installation of gravity sewers. The primary reason contributing to the growth of pilot tube microtunneling is the technology's capability of installing pipes at high precision in terms of line and grade, in a wide range of ground conditions using relatively inexpensive equipment. The means and methods, applicability, capabilities and limitations of pilot tube microtunneling are well documented in published literature through many project specific case studies. However, there is little information on the macroscopic level regarding the technology and industry as a whole. With the increasing popularity of pilot tube microtunneling, there is an emerging need to address the above issues. This research effort surveyed 22 pilot tube microtunneling contractors across North America to determine the current industry state of practice with the technology. The survey examined various topics including contractor profile and experience; equipment, methods, and pipe materials utilized; and issues pertaining to project planning and construction risks associated with the pilot tube method. The findings of this research are based on a total of 450 projects completed with pilot tube microtunneling between 2006 and 2010. The respondents were diverse in terms of their experience with PTMT, ranging from two to 11 years. A majority of the respondents have traditionally provided services with other trenchless technologies. As revealed by the survey responses, PTMT projects grew by 110% between the years 2006 and 2010. It was found that almost 72% of the 450 PTMT projects completed between 2006 and 2010 by the respondents were for sanitary sewers. Installation in cobbles and boulders was rated as the highest risk by the contractors.