The "holy grail" for prognostics and health management (PHM) professionals in the aviation sector is to have integrated vehicle health management (IVHM) systems incorporated into standard aircraft maintenance policies. Such a change from current aerospace industry practices would lend credibility to this field by validating its claims of reducing repair and maintenance costs and, hence, the overall cost of ownership of the asset. Ultimately, more widespread use of advanced PHM techniques will have a positive impact on safety and, for some cases, might even allow aircraft designers to reduce the weight of components because the uncertainty associated with estimating their predicted useful life can be reduced. We will discuss how standard maintenance procedures are developed, who the various stakeholders are, and - based on this understanding - outline how new PHM systems can gain the required approval to be included in these standard practices. There have been a few limited successes in this field already, and we will discuss the lessons learned in developing these systems. Finally, we will review the progress that the structural health management (SHM) community has made, and continues to make, to change the way the industry regards automated SHM systems. NOTE: SAE EDGE¿ Research Reports are intended to identify and illuminate key issues in emerging, but still unsettled, technologies of interest to the mobility industry. The goal of SAE EDGE¿ Research Reports is to stimulate discussion and work in the hope of promoting and speeding resolution of identified issues. SAE EDGE¿ Research Reports are not intended to resolve the issues they identify or close any topic to further scrutiny.