Improved design of laterally loaded monopiles is central to the development of current and future generation offshore wind farms. Previously established design methods have demonstrable shortcomings requiring new ideas and approaches to be developed, specific for the offshore wind turbine sector. The Pile Soil Analysis (PISA) Project, established in 2013, addresses this problem through a range of theoretical studies, numerical analysis and medium scale field testing. The project completed in 2016; this paper summarises the principal findings, illustrated through examples incorporating the Cowden stiff clay profile, which represents one of the two soil profiles targeted in the study. The implications for design are discussed.