The development of unconventional resources continues to be propelled by innovations that enhance economic efficiency and maximize reservoir contact within operational constraints. Among the most recent of these is the U-shaped, or “horseshoe,” well design, which connects two parallel horizontal laterals with a 180° turn, effectively doubling the reservoir exposure from a single wellhead. This paper provides a comprehensive literature review of the current state of knowledge on U-shaped well technology. It surveys the operational drivers for their adoption, the critical drilling, and completion technologies that have enabled its successful implementation and discusses key design considerations for a successful operation. Field data from major North American shale basins, including the Permian, Eagle Ford, Bakken, and Haynesville, demonstrate substantial economic benefits, such as capital cost savings of approximately 20–25% compared to traditional methods. Lifecycle assessments indicate notable environmental advantages, including a 29.3% reduction in carbon emissions, a 15.8% reduction in water use, and a 50% decrease in land disturbance. Despite these clear benefits, gaps remain regarding long-term performance validation, stimulation of curved sections, and fracture modeling accuracy. Addressing these gaps is essential to fully realize the potential of U-shaped wells as a sustainable and economically attractive approach in the evolving landscape of unconventional energy development.