To meet growing energy demands, offshore wind turbines (OWTs) with higher energy outputs are being developed, presenting increased challenges for their foundation design. Over the past decade, extensive research on the design optimization of OWT support structures has significantly reduced the anticipated costs of offshore wind farm development. Various design methods have been developed and applied in practice, each with its own advantages and limitations. In this study, 3D finite element (FE) modeling, validated against the measured response of a large-scale test monopile, is used to investigate the lateral load response of monopiles with different geometries and slenderness ratios in smaall and large displacements. The results are compared to the standard p–y method, and specific behavioral and design aspects of large-diameter monopiles, such as the moment contribution ratio from different resisting components and the minimum embedment length criteria, are evaluated and discussed. The results showed that the maximum and minimum differences between the 3D FE modeling and one-dimensional (1D) DNV p–y method are 41% and 11% for large displacements, and 32.5% and 13.3% for small displacements, respectively. As the slenderness ratio increases, the discrepancy between the finite element (FE) modeling results and the 1D DNV p–y method decreases, with an average difference of about 13% across all monopile diameters at an L/D ratio of 10, in both small and large displacements, indicating the reasonable accuracy of the 1D method for slenderness ratios of 10 and above. Among the three minimum embedment length criteria examined, the DNV recommended and vertical-tangent criteria offered shorter embedment lengths. The primary resisting moment across all slenderness ratios comes from the distributed lateral load along the monopile shaft (MCRp−y), which increases as the L/D ratio increases.