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Industry 4.0 is usually presented as usage of technologies. Some of these play an important role in the development of smart maintenance technologies. However, although the subject of smart maintenance has been discussed for more than 10 years, the manufacturing industry still finds it challenging to implement smart maintenance technologies to add benefits to maintenance organizations in line with company’s goals. This study presents a conceptual process for implementing smart maintenance technologies, challenges and enablers to consider when implementing, and benefits. This article is based on an analysis of empirical findings from seven large manufacturing companies in Sweden, previous maintenance research, and authors’ three previous smart maintenance research articles. In the first article, the authors explored perspectives on smart maintenance technologies from 11 large companies within the manufacturing industry, while in the second one, perspectives on smart maintenance technologies from 15 manufacturing Small and medium-sized enterprises (SMEs) were presented. In the third and final one, the authors developed and presented a testbed for smart maintenance technologies.