A new interstellar molecule, AlOH, has been detected toward the envelope of VY Canis Majoris (VY CMa), an oxygen-rich red supergiant. Three rotational transitions of AlOH were observed using the facilities of the Arizona Radio Observatory (ARO). The J = 9 → 8 and J = 7 → 6 lines at 1 mm were measured with the ARO Submillimeter Telescope, while the J = 5 → 4 transition at 2 mm was observed with the ARO 12 m antenna on Kitt Peak. The AlOH spectra exhibit quite narrow line widths of 16-23 km s-1, as found for NaCl in this source, indicating that the emission arises from within the dust acceleration zone of the central circumstellar outflow. From a radiative transfer analysis, the abundance of AlOH relative to H2 was found to be ~1 × 10-7 for a source size of 0.26'' or 22 R* . In contrast, AlCl was not detected with f <= 5 × 10-8. AlOH is likely formed just beyond the photosphere via thermodynamic equilibrium chemistry and then disappears due to dust condensation. The AlOH/AlO abundance ratio found in VY CMa is ~17. Therefore, AlOH appears to be the dominant gas-phase molecular carrier of aluminum in this oxygen-rich shell. Local thermodynamic equilibrium calculations predict that the monohydroxides should be the major carriers of Al, Ca, and Mg in O-rich envelopes, as opposed to the oxides or halides. The apparent predominance of aluminum-bearing molecules in VY CMa may reflect proton addition processes in H-shell burning.