Abstract In this current work, the heat transfer in double pipe heat exchangers with small tube spacing is analysed. This type of heat transfer is generally described in many literary sources, however, in laminar flow, the resulting values of the theoretical equations differ. Moreover, the small spacing of the pipes can affect the fluid flow and subsequent heat transfer. The suitability of using available theoretical methods for the design of double pipe heat exchangers (the Stephan, VDI and Baehr methods) was evaluated. A series of experiments was carried out on a double pipe heat exchanger with a tube spacing of 1.4 mm. The experimentally determined value of the heat transfer coefficient was up to two times higher in comparison with the values calculated according to theoretical methods. The relative increase was more significant for the lower Reynolds number values. At the same time, the difference of the wall temperature along the circumference of the outer tube was detected. This phenomenon was theoretically analysed and can be explained by tube misalignment in the small tube spacing. The procedure of quantification of this effect was proposed. This effect may cause an inhomogeneity of the media flow and temperature distribution and, as a result, increase the performance of the heat exchanger by tens of percent.