Abstract The increasing fields of applications for modern optical fibers present great challenges to the material properties and the processing technology of fiber optics. This paper gives an overview of the capabilities and limitations of established vapor deposition fiber preform technologies, and discusses new techniques for improved and extended doping properties in fiber preparation. In addition, alternative fabrication technologies are discussed, such as a powder-based process (REPUSIL) and an optimized glass melting method to overcome the limits of conventional vapor deposition methods concerning the volume fabrication of rare earth (RE)-doped quartz and high silica glasses. The new preform technologies are complementary with respect to enhanced RE solubility, the adjustment of nonlinear fiber properties, and the possibility of hybrid fiber fabrication. The drawing technology is described based on the requirements of specialty fibers such as adjusted preform and fiber diameters, varying coating properties, and the microstructuring of fiber configurations as low as in the nanometer range.