Structural health monitoring of wind turbines is necessitated by the difficulty in manually inspecting a wind turbine to assess safety and consequences of damage. Damage to a blade could dynamically unbalance the turbine, which could destroy the entire machine. Besides the huge financial loss if a turbine fails, safety is a concern for anything near the turbine. Loads on turbines are stochastic and include wind, ice, hail, gravity, tower shadowing, and gyroscopic forces. The complex loading makes it difficult to predict the exact life of the turbine. Also, since the turbines are so large, they are difficult to inspect for imperfections that occur during remote manufacturing and for damage that occurs during operation. Sensor systems for health monitoring of wind turbines must monitor large components including composite blades that can be 150‐ft long, the nacelle, which contains shafts and bearings that are on the scale of ‘shafts and bearings whose diameter is a few feet’ in diameter, a brake, generator, and the tower. The composite blades are particularly challenging to monitor for damage owing to their complex geometry and heterogeneous construction made of different materials such as fiberglass, graphite, and balsa wood. Blades may fail by overstress and fatigue and also by buckling of the cross section near the root of the blade. The sensor system on the blade must operate in a rotating frame and be extremely reliable, ideally lasting for 30 plus years. All these requirements together paint a picture of the unique challenges of health monitoring of wind turbines. This article discusses existing and potential new techniques for health monitoring of wind turbines, and especially blades.