Monitoring the time history of structures and infrastructures has always been an important area of application of geodetic and geomatic methods. Here we shall concentrate on the item of monitoring ancient buildings because, beyond its intrinsic interest, it provides a good illustration of some of the most recent monitoring techniques. Identifying the overhang, progressive changes of inclination, differential movements of the structure and detailing the study of structural elements are just some examples of the many fundamental and necessary information for structural engineers. Those data are required to study and analyze the behavior of a structure with the purpose to assess the stability. Looking at the several methods offered by Geomatics, laser scanning appears to be the best technology to provide an effective 3D solution to those requirements. Surveying by means of a terrestrial laser scanner, allows to detect a huge number of 3D information with high accuracy in a relatively short time and high accuracy. Just analyzing the point clouds, interesting information along with useful products can be obtained in order to draw some considerations about the investigated structure. This research aims at suggesting a new philosophy for using 3D models in a diagnostic perspective in order to study structures along with their actual dimensions, their stability and so on. Traditionally, indeed, laser scanning is chosen for artistic and architectural studies and the resulting three-dimensional model represents what often is of concern. Furthermore, the use of more classic techniques, such as total station and digital leveling, and LST is fundamental as an integrated approach for the monitoring of ancient buildings. The integration of different techniques allow a redundancy of observation and the possibility to verify the results obtained form independent techniques as is shown throughout some experimental applications.