Many types of amphiphilic molecules self-assemble in solution to form cylin
drical tubules and helical ribbons. Some examples include diacetylenic lipi
ds, amide amphiphiles, bile, and diblock copolymers. Researchers have propo
sed a variety of models to explain the formation of these high-curvature st
ructures. These models can be divided into two broad categories: models bas
ed on the chiral elastic properties of membranes, and models based on other
effects, including electrostatic interactions, elasticity of orientational
order, and spontaneous curvature. In this paper, we review the range of th
eoretical approaches and compare them with relevant experiments. We argue t
hat the category of models based on chiral elastic properties provides the
most likely explanation of current experimental results, and we propose fur
ther theoretical and experimental research to give a more detailed test of
these models.