Best Italian Restaurants in Hayes Valley
6 hand-picked restaurants, critic-reviewed and ranked
Last Updated: February 2026
Our Top Pick
Doppio Zero
Authentic Neapolitan pizza certified by Vera Pizza Napoletana association
Notable Picks
#1
Doppio Zero
8.6
Vibes:
Date Night Magic
Business Lunch Power Players
Instagram Worthy Wonders
Group Dining Gatherings
Vera Pizza Napoletana-certified pizzeria cooking authentic pies in a 900°F wood-fired oven, named 15th best in the US by 50TopPizza in 2021. The pre-theater crowds flock here for charred crusts and handmade pasta alongside Italian wines.
Must-Try Dishes:
Margherita Pizza, Mortadella & Pistachio Pizza, Doppio Zero House Special
What Makes it Special: Authentic Neapolitan pizza certified by Vera Pizza Napoletana association
#2
a Mano
8.4
Handmade pastas and Italian small plates served on a lively Hayes Valley corner with plenty of al fresco seating. Locals line up for fresh, seasonal dishes and an upbeat patio scene that works for dates or friends.
Must-Try Dishes:
Pappardelle with short rib sugo, Cacio e pepe, Burrata with seasonal accoutrements
What Makes it Special: Fresh, handmade pastas with a high-energy patio scene.
#3
Beretta
8.3
The Divisadero outpost of the Mission original brings crisp Roman-style pies, pastas, and a solid kids-appropriate brunch menu. Friendly service and big tables make it easy for groups without feeling fussy.
Must-Try Dishes:
Margherita pizza, Lasagna ferrarese, Saffron risotto
What Makes it Special: Well-executed pizzas and pastas with spacious seating on Divis.
8.2
Vibes:
Quick Bites Champions
Cheap Eats Budget Brilliance
Family Friendly Favorites
Solo Dining Sanctuaries
Counter-service Italian spot known for housemade pastas and daily baked trays of meat or veggie lasagna. Portions are generous and pricing stays friendly, making it an easy stop before a show or while strolling Hayes Valley.
Must-Try Dishes:
Meat Lasagna (béchamel & bolognese), Veggie Lasagna (spinach pasta, seasonal veg), Piadina with Prosciutto
What Makes it Special: Housemade lasagna in both meat and vegetarian versions at counter-service speed.
#5
Uva Enoteca
8.2
Lower Haight trattoria (since 2008) doing straightforward antipasti, pizzas, and pastas with a tight Italian wine list. Calm room and shareable plates work well for families who like to split and sample.
Must-Try Dishes:
Meatballs al sugo, Margherita pizza, Cacio e pepe
What Makes it Special: Neighborhood Italian with dependable pastas and low-key energy.
Worthy Picks
#6
Il Borgo
7.7
Cozy neighborhood trattoria where the chef turns out handmade pastas and simple secondi. Low lighting and quiet tables suit intimate conversation away from the Hayes bustle.
Must-Try Dishes:
Lasagnetta del Borgo, Gnocchi Gorgonzola, Chicken Marsala
What Makes it Special: Handmade, Milan-leaning pasta in a petite, quietly romantic room.