Lipid bilayer membranes below their main transition have two tilt orde
r parameters, corresponding to the two monolayers. These two tilts may
be strongly coupled to membrane shape, but only weakly coupled to eac
h other. We discuss some implications of this observation for rippled
and saddle phases, bilayer tubules, and bicontinuous phases. Tilt diff
erence introduces a length scale into the elastic theory of tilted flu
id membranes. It can drive an instability of the flat phase; it also p
rovides a simple mechanism for the spontaneous breaking of inversion s
ymmetry seen in some recent experiments.