The offshore oil and gas industry plays a crucial role in meeting global energy demands by providing reliable and efficient operations for offshore facilities. This comprehensive review explores various innovative maintenance strategies aimed at enhancing reliability and efficiency in the industry. The article emphasizes the significance of maintenance for offshore operations and delves into different innovative strategies. Condition-Based Maintenance (CBM) techniques enable proactive monitoring of equipment health, optimizing maintenance schedules, and reducing unscheduled downtime. Predictive maintenance, powered by data analytics and machine learning, allows for the prediction of potential failures and prioritization of maintenance activities. Prognostics and Health Management (PHM) systems facilitate early fault detection and preventive actions, enhancing asset reliability. Reliability-Centered Maintenance (RCM) approaches focus maintenance efforts on critical assets, ensuring efficient resource allocation. The integration of robotics and automation revolutionizes inspection, repair, and maintenance activities, reducing human intervention and enhancing safety. Digital twins, virtual replicas of physical assets, enable simulation and optimization of maintenance processes. Despite the immense potential of these innovative maintenance strategies, implementation faces challenges such as technological complexity, economic considerations, and regulatory compliance. Looking ahead, the industry’s focus on sustainability and the global energy transition will drive maintenance practices that minimize environmental impact. Renewable energy integration, emission reduction efforts, and sustainable asset lifecycle management will shape future maintenance approaches. Embracing digital transformation and investing in workforce training are crucial for unlocking the full potential of innovative maintenance strategies. In conclusion, this comprehensive review highlights the diverse landscape of innovative maintenance strategies available to offshore oil and gas facilities. By embracing these transformative approaches, operators can elevate reliability, efficiency, and safety, ensuring sustainable operations amid dynamic industry demands.