Internal tides are ubiquitous in the ocean, and they play an important role in a range of ocean processes, for example, particle dispersal, acoustics, and vertical buoyancy flux. The wavelength of internal tides can be as much as 250 km in the open ocean, but as the generation of these tides depends on the angle between the depth-averaged current and the topography, there can be considerable local spatial variability. This range of scales makes it difficult to develop a comprehensive understanding of the processes involved from observations alone. Regional numerical modeling provides a way to study the generation and early propagation of internal tides at high resolution. Here, we review the role that regional internal tide models, primarily hydrostatic models, can play in increasing our understanding.