No more than one third of the present stone bridge is of ancient material, as it was entirely rebuilt and extended in the 19th century after numerous earlier restorations.

He may have been responsible for building the bridge or for later restoring an existing one, and may have been a member of the gens Cestia during the later Roman Republic.

[1] The Pons Cestius was restored during the reign of the emperor Antoninus Pius (r. 138–161); an inscription commemorating the rebuilding was installed on the structure.

[1] The bridge was rebuilt using volcanic tuff stone and peperino marble, with a facing of travertine limestone.

[1] The ancient bridge, which had two small arches either side of the wide central span, was simply not long enough.