This chapter reports design and analysis methods for planar antennas based on modulated metasurfaces (MTSs). These antennas transform a surface wave (SW) into a leaky wave by means of the interaction with a MTS having a spatially modulated equivalent impedance. The basic concept is that the MTS imposes the impedance boundary conditions (BCs) seen by the SW, and therefore the MTS controls amplitude, phase, and polarization of the aperture field. Thus, MTS antennas are highly customizable in terms of their performances, by simply changing the MTS and without affecting the overall structure. Several technological solutions can be adopted to implement the MTS, from sub-wavelength patches printed on a grounded slab at microwave frequencies, to a...