The Tsing Yi South Bridge was constructed in the early 1970s to provide access between Tsing Yi Island and the mainland at Kwai Chung. It has a prestressed concrete box girder superstructure consisting of five independent units which are monolithic with their piers and have expansion joints at the mid-span shear hinges and the abutments. During routine maintenance it was found that the superstructure cantilevers were deflecting excessively, and consequently a thorough inspection and appraisal were commissioned. These included a complete visual inspection, concrete core extraction, radiographic inspection of prestressing tendons and a programme of load testing. The bridge was also reanalyzed to check its long-term performance. Subsequently, a rehabilitation scheme was designed to recover part of the deflection. This involved the introduction of additional prestress near the box girder's top flange. Key words: prestressed concrete, structural assessment, creep, shrinkage, radiographic inspection, rehabilitation, external prestressing.