This white paper presents the findings from the sixth annual SIAM survey conducted in 2023, which collected responses from over 200 participants across 33 countries. The document is structured into several sections that analyze the demographics of the respondents, including their geographical distribution, job titles, and organizational sizes. It also examines organizations that are planning to adopt Service Integration and Management (SIAM), detailing their expected benefits, challenges, and the duration of their transition. Additionally, the paper includes insights from organizations that have already implemented SIAM, discussing the strategic drivers behind their transition and the types of service integrator structures they have adopted. Finally, it addresses the perspectives of organizations providing SIAM consultancy or solutions, highlighting the expectations and challenges faced by their clients. The survey aims to build a comprehensive understanding of SIAM maturity and adoption trends globally.