Perpetual calendar watchmaking dates to the 18th century but the wristwatch perpetual is a 20th-century achievement. The Patek Philippe ref. 1518 (1941) was the first wristwatch perpetual chronograph; only 281 were made over its 13-year production. The 1518's success drove the modern perpetual-chronograph tradition; the Patek ref. 2499, 3970, 5970, and modern 5270 / 5970R are the canonical heritage references at six- and seven-figure auction prices.
The modern perpetual market divides into the heritage-haute tier (Patek 5327, Vacheron Patrimony Perpetual, Lange Langematik Perpetual, AP Royal Oak Perpetual) at CHF 80,000-150,000, and the more-accessible perpetuals from IWC Da Vinci Perpetual, Blancpain Villeret QP, and JLC Master Ultra Thin Perpetual at CHF 25,000-50,000. The AP Royal Oak Perpetual Calendar (ref. 26574) became the most-photographed luxury perpetual of the late 2010s; it trades at multiples of retail.
Mechanical complexity: a perpetual movement adds ~140-180 components over a base time-only movement, requires monthly cam-and-lever programming, and complicates servicing. Setting the watch is the user's biggest concern: most perpetual movements have multiple correctors hidden in the case-band that must be advanced via stylus in a specific sequence; modern IWC Pellaton-pioneered single-pusher correction simplifies this. See: perpetual calendar wiki.