Integrated landscape approaches have evolved over decades from integrated rural development and integrated natural resource management to today's landscape approaches. While increasingly endorsed, the approaches lack a clear conceptual framework and definition. Evidence for their effectiveness remains limited due to poor data, though case studies show integration can improve performance. Barriers to effective implementation include lack of communication, differing stakeholder visions, limited resources, and incompatible policies. A full understanding of integrated approaches must consider socio-political contexts and power structures.