Concrete structures are prone to damage and deterioration in their health due to environmental effects, aging, etc., leading to failure prior to their intended service life. Structural Health Monitoring (SHM) is an innovative technique adopted for assessing the structural health, damage identification and assessing the residual life of the structure. The conventional techniques have proved to be inefficient as they required prior information about the vicinity of the damage and accessibility to the damaged region of the structure. The development of various sensors such as fiber optical sensor (FOS), piezoelectric transducers have proved to efficient. This study presents the introduction and the fundamental concept of the latest sensor in trend in the domain of SHM, the piezoceramic-based Smart Aggregate(SA). The applications of SA under various loadings for concrete structures have been reviewed. Also, the damage indices developed for 1-D and 2-D structural components for assessing the damage status in the structure have been summarized. It was established that the smart aggregate is capable of damage detection, health monitoring (concrete columns, shear wall, frames) and impact detection(concrete piles).