This article reviews the state of the art in guided wave (GW) methods for structural health monitoring (SHM). The GW methods permit
on‐demand
interrogation of the structure to determine its current state of structural health (“active SHM”). The enabling element for active SHM is the piezoelectric wafer active sensor (PWAS), which allows both transmission and reception of GW into the structure. The mechanisms of Lamb wave excitation and detection with PWAS transducers are first presented. It is shown that Lamb wave mode tuning can be achieved by the combination of PWAS dimensions, frequency values, and mode characteristics. The isotropic GW theory is subsequently extended to GW propagation in composites. The pitch‐catch, pulse‐echo, and phased array ultrasonic methods for damage detection are also addressed. Detection of cracks, disbonds, delaminations, and diffuse damage in metallic and composite structures are exemplified. Finally, suggestions for further work are made.