Pedestrian bridges are an important component of an active transportation system. As part of digital and green transformation, active travel is recognized as an essential strategy for reducing vehicle fuel consumption and exhaust emissions, but also for improving public health. Pedestrian bridges and other active travel infrastructure must be designed to be accessible to all users. Bridges that do not meet the conditions for comfortable use can force detours that discourage walking and bicycling. Adapting bridges that are not universally accessible requires challenging and expensive construction work. When accessibility issues are considered in the planning and design of new bridges, cost-effective, and often cost-neutral solutions, can be found. Some countries ensure the accessible design of pedestrian bridges through national regulations, but it is important to educate and raise awareness among all bridge designers about the importance of accessible design to achieve sustainable structures. Therefore, this paper provides an overview, comparison and commentary on the most comprehensive current standards, guidelines and manuals for pedestrian bridges that contain information on accessible design. Special attention is given to the design of stairs and ramps as critical elements of bridge accessibility.