This book features selected papers from the 4th International Conference on Structural Health Monitoring & Engineering Structures (SHM&ES), held in Nha Trang City, Vietnam, on August 7–8, 2025. It highlights recent advancements in structural health monitoring, damage detection and assessment, non-destructive testing, inverse problems, optimization, artificial neural networks, engineering management, and architectural innovations. Key topics include innovative structural designs aimed at reducing energy consumption and CO2 emissions, as well as emerging techniques for structural damage diagnosis. The conference also covers applications in industrial engineering, theoretical and analytical methods, numerical simulations, and experimental approaches. Moreover, discussions address management strategies for sustainable development, emphasizing the integration of sustainability into engineering practices to prioritize environmental and social responsibilities alongside technological innovation. The book is a valuable resource for researchers and professionals engaged in the health monitoring and sustainable development of engineering structures.