Symmetry restrictions due to fluidity require the strain energy in the Helfrich theory of lipid membranes to be locally isotropic in nature. Although this framework is suitable for modeling the interaction of membranes with proteins that generate spherical curvature such as clathrin, there are other important membrane-bending proteins such as BIN-amphiphysin-Rvs proteins that form a cylindrical coat with different curvatures in the longitudinal and the circumferential directions. In this work, we present a detailed mathematical treatment of the theory of lipid membranes incorporating anisotropic spontaneous curvatures. We derive the associated Euler-Lagrange equations and the edge conditions in a generalized setting that allows spatial heterogeneities in the properties of the membrane-protein system. We employ this theory to model the constriction of a membrane tubule by a cylindrical scaffold. In particular, we highlight the role of the equilibrium equation in the tangential plane in regulating the spatial variation of the surface tension field.