This book provides a systematic approach to realizing NiTi shape memory alloy actuation, and is aimed at science and engineering students who would like to develop a better understanding of the behaviors of SMAs, and learn to design, simulate, control, and fabricate these actuators in a systematic approach. Several innovative biomedical applications of SMAs are discussed. These include orthopedic, rehabilitation, assistive, cardiovascular, and surgery devices and tools. To this end unique actuation mechanisms are discussed. These include antagonistic bi-stable shape memory-superelastic actuation, shape memory spring actuation, and multi axial tension-torsion actuation. These actuation mechanisms open new possibilities for creating adaptive structures and biomedical devices by using SMAs.