This paper underlines the importance of the correct drill bit application in horizontal wells. Afler the analysis of the peculiarities of horizontal wells and drainholes drilling techniques, advantages and disadvantages of the application of both roller cone and fixed cutters drill bits have been discussed. Also, a review of the potential specific featuries useful for a correct drill bit selection in horizontal small diameter holes has been highlighted. Drill bits for these special applications, whose importance is quickly increasing nowadays, should be characterised by a design capable to deliver a good penetration rate low WOB, and, at the same time, be able to withstand high RPM without premature cutting structure failure and undergauge. Formation properties will also determine the cutting structure type and the eventual specific features for additional gauge and shoulder protection.