In recent years there has been an increasing interest in the application of advanced structural monitoring systems to aircraft structures. A great deal of research effort has, and is being directed towards technologies that can detect damage and estimate its significance. In this paper the benefits of deploying such systems are discussed and illustrated with quantitative estimates where these are available. It is concluded that significant benefits should accrue from their use, but that a number of outstanding technical issues remain which include the realistic verification of performance and reliability. The impact on aircraft airworthiness is also considered and it is suggested that while no significant new issues emerge, considerable work will need to be done to qualify systems, and that this is unlikely to be worthwhile unless the expected benefits can be assured.