The combined length of the sewerage and clean water pipe infrastructure in the UK is estimated to be about 800,000 km. It is prone to failure due to its age and the inadequacies of the current pipe inspection methods. Fibre-optic cable sensing is an attractive way to continuously monitor this infrastructure to detect critical changes. This paper reviews the existing fibre-optic sensor (FOS) technologies to suggest that these technologies have better sensing potential than traditional inspection and performance monitoring methods. This review also discusses the requirements for retrofitting an existing pipeline with an FOS. It also demonstrates that there is a need for further research into methods applicable to non-pressurised pipelines, as there is very little existing literature that focuses on partially filled pipes and pipes with gravity fed flows.