The optimization of the turbine plant of a nuclear power station in combination with heat production is dependent upon many factors, the most important being the heat requirements, full-load equivalent operating time, and the heat transport distance, i.e., the trunk mains’ costs. With hot-water-based heat transport, this usually results in a large temperature difference between supply and return water and heating in two or three stages. The turbine can consist of a back-pressure turbine, a back-pressure turbine with condensing tail, or a condensing turbine with heat extractions. The most attractive solution from technical as well as economic points of view is the condensing turbine with extraction for district heating or desalination as appropriate. The turbines can be of conventional design, with only minor modifications needed to adapt them to the operating conditions concerned.