Code refactoring is a code transformation that aims to enhance the internal code structure. A single refactoring is rarely sufficient to achieve the full removal of a poor code structure, such as a code smell. Developers then apply composite refactorings to fully remove a code smell. A composite refactoring (or, simply, composite) consists of two or more interrelated single refactorings. A composite is considered complete when it fully eliminates the target smell. However, studies report that developers often fail in completely removing target code smells through composites. Even when composite refactorings are complete they may still not be entirely beneficial to the code structure. They may induce side effects, such as the introduction of new smells or the propagation of existing ones. There is a limited understanding of the completeness of composite refactorings and their possible effects on structural quality. This thesis investigates whether and how composite refactorings fully remove smells without inducing side effects. We found that 64 per cent of complete composites in several software projects are formed of refactoring types not previously recommended in the literature. Based on this study, we derived a catalog of recommendations for supporting developers in applying composite refactorings. Out of twenty one developers evaluating our catalog, 85 per cent reported that they would use the catalog recommendations and that their own refactoring solutions would have induced side effects. We also qualitatively evaluated three existing approaches to automatically recommend composite refactorings. In our study with ten developers, most (80 per cent) developers reported that existing approaches frequently induce side effects. Overall, the findings and the proposed catalog can help developers to perform complete composite refactorings with better awareness of possible side effects.