PurposeThe purpose of this study is to review the existing fatigue and vibration-based structural health monitoring techniques and highlight the advantages of combining both approaches.Design/methodology/approachFatigue monitoring requires a fatigue model of the material, the stresses at specific points of the structure, a cycle counting technique and a fatigue damage criterion. Firstly, this paper reviews existing structural health monitoring (SHM) techniques, addresses their principal classifications and presents the main characteristics of each technique, with a particular emphasis on modal-based methodologies. Automated modal analysis, damage detection and localisation techniques are also reviewed. Fatigue monitoring is an SHM technique which evaluate the structural fatigue damage in real time. Stress estimation techniques and damage accumulation models based on the S-N field and the Miner rule are also reviewed in this paper.FindingsA vast amount of research has been carried out in the field of SHM. The literature about fatigue calculation, fatigue testing, fatigue modelling and remaining fatigue life is also extensive. However, the number of publications related to monitor the fatigue process is scarce. A methodology to perform real-time structural fatigue monitoring, in both time and frequency domains, is presented.Originality/valueFatigue monitoring can be combined (applied simultaneously) with other vibration-based SHM techniques, which might significantly increase the reliability of the monitoring techniques.