The innate immune system plays a crucial role in tissue maintenance and regeneration, with monocytes being an important part of this process. These circulating innate immune cells become macrophages when they enter damaged tissue. While monocytes are easier to study and catalog than macrophages, both cell types play a vital role in tissue regeneration. A recent open access paper focuses on circulating monocytes in the context of bone fracture, shedding light on their potential role in bone healing. With the aging population facing an increased risk of bone fractures, understanding the behavior of monocytes and macrophages in this context could lead to valuable insights for predicting surgery timing and mitigating immunosuppressive effects. Furthermore, age-related changes in monocyte expression and migration can impact bone resorption and remodeling. Overall, manipulating innate immune cell state holds promise for better controlling tissue maintenance, regeneration, and inflammation.