Abstract: A smart pillbox with a basic weighing scale that provides an easy, accurate and robust mechanism to monitor the removal of pills using weight, without modifying the behavior of patients. When connected to a small, inexpensive computing device and clock/timing device, it can easily record the removal of pills. With the addition of a light, such as an LED, or a display, it can provide a visual notification as a reminder to take pills, as well as when pills were last taken. With the addition of a loudspeaker or other sound-generator, the notification can be audible with a variety of notification sounds or alarms that designate time pills should be taken.