Simple SummaryMarine mammal welfare research of professionally managed species has primarily focused on enrichment, habitat usage, and activity, as well as the impacts of human-oriented training sessions. However, the importance of sound in the welfare of marine mammals has rarely been mentioned. In this review, methods for acoustic welfare monitoring are discussed, including hearing tests, the incorporation of listening systems to monitor noise and communication, and cataloguing vocalizations in various health contexts. Examples from the US Navy Marine Mammal program are provided, as well as opportunities for facilities to initiate acoustic welfare monitoring. Suggested future directions of study, such as research examining the impact of sound on cognition, are also discussed.AbstractResearch evaluating marine mammal welfare and opportunities for advancements in the care of species housed in a professional facility have rapidly increased in the past decade. While topics, such as comfortable housing, adequate social opportunities, stimulating enrichment, and a high standard of medical care, have continued to receive attention from managers and scientists, there is a lack of established acoustic consideration for monitoring the welfare of these animals. Marine mammals rely on sound production and reception for navigation and communication. Regulations governing anthropogenic sound production in our oceans have been put in place by many countries around the world, largely based on the results of research with managed and trained animals, due to the potential negative impacts that unrestricted noise can have on marine mammals. However, there has not been an established best practice for the acoustic welfare monitoring of marine mammals in professional care. By monitoring animal hearing and vocal behavior, a more holistic view of animal welfare can be achieved through the early detection of anthropogenic sound sources, the acoustic behavior of the animals, and even the features of the calls. In this review, the practice of monitoring cetacean acoustic welfare through behavioral hearing tests and auditory evoked potentials (AEPs), passive acoustic monitoring, such as the Welfare Acoustic Monitoring System (WAMS), as well as ideas for using advanced technologies for utilizing vocal biomarkers of health are introduced and reviewed as opportunities for integration into marine mammal welfare plans.