Underground structures are well known to be earthquake resistant. However, the recent earthquakes showed that underground structures are also vulnerable to seismic damage. There may be several reasons such as high ground motions and permanent ground movements. This study attempts to describe various forms of damage to underground structures such as tunnels, caverns, natural caves and abandoned mines during major earthquakes. Results of various model tests on shaking table are also presented to show the effect of ground shaking on the response and collapse of underground structures in continuum and discontinuum. Furthermore, some empirical equations are proposed to assess the damage to underground structures, which may be useful for quick assessments of possible damage.