Athlete monitoring systems (AMSs) provide a centralized platform for integrating, processing, analyzing, and graphing various monitoring data to help coaches manage the rigorous demands of elite men’s basketball players, who frequently participate in high-stress games with minimal recovery time. Tis review synthesizes current challenges in deploying AMSs, underscores their role in injury prevention and performance optimization, and discusses technological advances that could enhance their utility. Key challenges include selecting appropriate monitoring methods based on human and fnancial resources, accuracy of data collection, real-time data processing, and personalization of training regimens. Due to the weaknesses and limitations of each monitoring method, it is recommended that both objective (e.g., external load data, heart rate measures, and biomarkers) and subjective (athlete-reported outcome measures) monitoring data be integrated into an AMS to provide a holistic insight of the athlete’s health and readiness. In addition, decision support systems integrated into an AMS can help coaches quickly gain an overview of their players’ current condition and make informed decisions about daily load and recovery management. In this context, future perspectives suggest the potential for AMSs to incorporate predictive analytics and artifcial intelligence to further enhance decision-making processes in elite men’s basketball. Our fndings underscore the need for continued in- novation and rigorous validation of AMS technologies to ensure they meet the evolving demands of professional sports environments.