Both the reduction in operating and maintenance (O&M) costs and improved reliability have become top priorities in wind turbine maintenance strategies. O&M costs typically account for 20% to 25% of the total levelized cost of electricity (LCOE) of current wind power systems. This paper provides a general review of the state of the art of research conducted on wind farm maintenance in recent years. It shows the new methods and techniques, focusing on trends and future challenges. In addition to this, this work includes a review of the following items: (i) operation and maintenance, (ii) failure rate, (iii) reliability, (iv) condition monitoring, (v) maintenance strategies, (vi) maintenance and life cycle and (vii) maintenance optimization As for offshore wind turbines, it is crucial to limit the maximum faults, since the maintenance of these wind farms is more complex both technically and logistically. Research into wind farm maintenance increased by 87% between 2007 and 2019, with more than 38,000 papers (Scopus) including “wind energy” as the main topic and some keywords related to O&M costs. The LCOE in onshore wind projects has decreased by 45%, while in offshore projects it has decreased by 28%. The O&M costs of onshore wind projects fell 52%, while in the case of offshore projects, they have declined 45%. Thus, the results obtained in this paper suggest that there is a change in research on wind farm operation and maintenance, as in recent years, scientific interest in failure has been increasing, while interest in the various techniques of wind farm maintenance and operation has been decreasing.