The reaction NN -> NN pi is studied at low energies within chiral perturbation theory (ChPT). Special emphasis is put on p-wave pion production in different channels of NN -> NN pi and Charge Symmetry Breaking (CSB) effects in pn -> d pi(0) recently measured at TRIUMF. A very good agreement of the p-wave amplitudes with experimental observables demonstrates the applicability of ChPT to these reactions regardless the large momentum transfer. The results of a complete calculation of CSB effects at leading order are presented. Based on this calculation we extract the strong contribution to the neutron-proton mass difference.