This talk highlights Silterra’s CMOS-MEMS integration platforms and scalable manufacturing driving the next generation of intelligent microsystems. Material breakthroughs like Aluminum Scandium Nitride (AlScN) enable high-performance piezoelectric MEMS for CMOS-PMUT integrated devices, while Silterra’s MOEMS integrated platform pushes boundaries by seamlessly combining mechanical, optical, and electronic components into manufacturable systems, including micromirrors and other MEMS solutions. Application examples, such as ultrasound imaging in healthcare and smart headlamps (ADB) in automotive, show how these advances move from research to real-world applications, paving the way for smarter, safer, and more connected user experiences.