Ultimate Guide: The best Italian restaurants in San Francisco Whether it’s a neighborhood trattoria or a new school destination, everyone has a favorite Italian spot Best Italian Restaurants in San Francisco, California: Find Tripadvisor traveller reviews of San Francisco Italian restaurants and search by price, location, and more. Best Italian Restaurants in San Francisco, California: Find Tripadvisor traveler reviews of San Francisco Italian restaurants and search by price, location, and more. Best Italian Restaurants in Little Italy (San Francisco): See 1,570 Tripadvisor traveler reviews of Italian Restaurants in Little Italy San Francisco. We’ve pulled data from thousands of restaurants to find the top spots for Italian food in San Francisco among OpenTable's most expert, seasoned diners. When it comes to Italian food, there are a lot of fantastic options in SF - from fast-casual pasta places and neighborhood pizza spots to very fancy restaurants that require waking up at midnight 30 days in advance and/or giving up rent control to get a Saturday night reservation. 15 Primo Italian Restaurants in San Francisco Roman pasta, Neapolitan pizza, wood-fired fish, and so much more by Becky Duffett Feb 13, 2020, 10:30am PST You'll find everything from historic neighborhood dives to white table-clothed splendor, all vetted by the types of tastemakers who know the best spots around the city. Best Italian Restaurants in Fisherman’s Wharf (San Francisco): See 13,906 Tripadvisor traveler reviews of Italian Restaurants in Fisherman’s Wharf San Francisco. Our 21 favorite places for Italian in San Francisco. Best Italian Restaurants in Marina District (San Francisco): See 2,692 Tripadvisor traveler reviews of Italian Restaurants in Marina District San Francisco.