This report contains guidelines for aesthetic treatment of concrete safety shape barriers. The report will be of particular interest to design and safety practitioners with responsibility for roadside safety improvements. The increasing application of context-sensitive design solutions for highway projects has created a national need for aesthetic improvement of typical highway features. Requests for concrete barrier treatments and bridge rails that contribute to the overall aesthetic experience are increasing. Concrete barriers (e.g., New Jersey, F-shapes, single-slope, and vertical-face designs) are often the barriers of choice in urban and suburban environments. Many transportation agencies and communities have expressed a desire for aesthetic treatments for these standard shapes. To date, there has been limited evaluation to determine which aesthetic treatments are safe and practical. Designers need guidance regarding the safety implications of aesthetic treatments for concrete barriers.