The main objective of this work is to study the performance of prestressing steel (PS) bars as reinforcements in the reinforced concrete (RC) elements strengthened by the near-surface mounted method (NSM). The work includes two parts. In the first part, direct pull-out tests are performed in order to study the bond performance between PS reinforcement and concrete. The influences of groove sizes and PS surface conditions (smooth and sand coated) are evaluated. The results show that the sand coated PS (PS-Sc) reinforcement has the best adhesion behavior compared with the smooth bar, and its pull-out force is increased by 48%. For this reason, the PS-Sc bars are used in the second part of this work as NSM reinforcement to strengthen RC beams subjected to bending forces. Then, four-point bending tests are carried out to understand the flexural behavior of strengthened RC beams with PS-Sc reinforcements of different lengths and ratios. The obtained results demonstrate that the use of NSM-PS-Sc bars strengthening technique leads to important enhancement in the load carrying capacity of the RC beams. The first crack load and ultimate load of the strengthened RC beams attain 71.41 and 65.67%, respectively, which are higher than those of the control beam. Furthermore, the experimental values show a good agreement with the analytical values in both the ultimate deflection and the ultimate load. This proves that the NSM-PS-Sc bars studied in this work are promising reinforcement of the RC beams.