Piezoelectric energy harvesters (PEHs) convert mechanical energy from vibrations into electrical energy. They have become popular in energy-autonomous IoT systems. However, the total energy extracted by a PEH is highly sensitive to matching between the PEH impedance and the energy extraction circuit. Prior solutions include the use of a full-bridge rectifier (FBR) and a so-called synchronous electric-charge extraction (SECE) [1], and are suitable for non-periodic vibrations. However, their extraction efficiency is low since the large internal capacitance C p (usually 10's of nF) of the PEH (Fig. 27.2.1) prevents the output voltage from reaching its maximum power point (MPP) under a typical sinusoidal and transient excitation (V MPP = 1/2·I p R p ). A recently proposed technique [2,3,4], called bias-flip, achieves a higher extraction efficiency by forcing a predetermined constant voltage at the PEH output, V p , which is then flipped every half-period of the assumed sinusoidal excitation (Fig. 27.2.1, top left). To flip V p , the energy in capacitor C p is extracted using either a large external inductor [2,3] or capacitor arrays [4]. It is then restored with the opposite polarity (Fig. 27.2.1, top). However, V MPP of the PEH varies with sinusoidal current I p ; hence, the two fixed values of V p in the flip-bias technique either over or underestimate V MPP for much of the oscillation cycle (pattern filled regions in Fig. 27.2.1, top right). In addition, none of the prior approaches compensate for V MPP -waveform amplitude changes, due to input intensity variations or decaying oscillations after an impulse, further degrading efficiency.