Maintenance is crucial to manufacturing operations. In many organisations, the production equipmentrepresents the majority of invested capital, and deterioration of these facilities and equipment increasesproduction costs, reduces product quality. Over recent years the importance of maintenance, and thereforemaintenance management, within manufacturing organisations has grown. The maintenance function hasbecome an increasingly important and complex activity, particularly as automation increases. Theopportunity exists for many organisations to benefit substantially through improvements to theircompetitiveness and profitability by adopting a new approach to maintenance management. Several toolsand technologies including Condition Based Maintenance (CBM), Reliability Centred Maintenance (RCM)and more recently e-maintenance have developed under the heading of Advanced Maintenance Strategies.However, the adoption of advanced maintenance strategies and their potential benefits are usuallydemonstrated in large organisations. Unfortunately, the majority of organisations are constrained by thelack of knowledge and understanding on the requirements, which need to be in place before adopting anadvanced maintenance strategy. These are usually classified as Small and Medium Sized Enterprises(SMEs).The research strategy is based on ‘empirical iterations’ using survey secondary data, experts’ interviewsinformation and multiple case studies. The results show that there is a set of recommendations, whichstrongly influence the implementation of an Advanced Maintenance Strategy (AMS) with a Small toMedium Enterprise (SME). Organisations require a structured and integrative approach in order to takeadvantage of a new approach to maintenance management. This paper will propose recommendations forintegrating an AMS into the organisation and provide evidence of a successful implementation.