Ultrasonic inspection is a well recognized technique for non-destructive testing of aircraft components. It provides both local highly sensitive inspection in the vicinity of the sensor and long-range structural assessment by means of guided waves. In general, the properties of ultrasonic waves like velocity, attenuation and propagation characteristics such as reflection, transmission and scattering depend on composition and structural integrity of the material. Hence, ultrasonic inspection is commonly used as a primary tool for active inspection of aircraft components such as engine covers, wing skins and fuselages with the aim to detect, localise and describe delaminations, voids, fibre breakage and ply waviness. This chapter mainly focuses on long range guided wave structural health monitoring, as aircraft components require rapid evaluation of large components preferably in real time without the necessity for grouding of an aircraft. In few upcoming chapters advantages and shortcommings of bulk wave and guided wave ultrasonic inspection is presented, fundamentals of guided wave propagation and damage detection are reviewed, the reliability of guided wave SHM is discussed and some recent examples of guided wave applications to SHM of aerospace components are given.