Abstract. This study investigates how blade aerodynamic modifications, including leading edge roughness (LER), influence wind turbine performance over their operational lifespan. It introduces a methodology developed to examine the intricate relationship between blade erosion, blade enhancements, operations and maintenance (O&M) events, control programmable logic controller (PLC) parameter updates, and their cumulative impact on turbine efficiency. Analysing data from 12 multi-megawatt offshore turbines over a 12-year period, the investigation hinges on the integration of supervisory control and data acquisition (SCADA) data, O&M records, and air density corrections. A key contribution is the development of the turbine performance integral (TPI) method, which, for the investigated turbines, leverages generator speed and power output data to track performance trajectories. Seasonal trend decomposition using locally estimated scatterplot smoothing (STL) further isolates long-term trends and seasonal variations in performance. Despite data availability and quality limitations, the study reveals significant findings concerning the impact of manufacturer software updates on turbine control strategies, resulting in improved performance; the variable effects of blade repairs and enhancements; and the complex interaction between O&M events and performance. This work applies a methodical approach and statistical rigour, offering a path forward for effectively monitoring wind turbine efficiency and advancing renewable energy.