nomics, anthropology, ethics, and healthcare. The concept of value is deeply rooted in economic theory, dating back to the mid seventeenth century, and formally applied in 1776 by the Scottish economist Adam Smith in "An Inquiry into the Nature and Causes of the Wealth of Nations" [1]. As our economy has diversified from one based in commodities, revisions to the theory of value have come often. In our modem economy, value has been tied directly to the cost of an object (which can include the cost of its production, distribution, exchange and consumption). However, this strict economic definition of value has been refined, and in no sector is this more relevant than in healthcare. Value involves preferences (those of a patient or a consumer), a cost (financial risk or toxicity), an exchange (between individuals, or a tradeoff within an individual), and the context of such an exchange (in a patient with a terminal illness). And, as will be seen in this discussion, value, regardless of perspective, has political and societal implications. In this review, we aim to define value in gynecologic cancer care, to demonstrate the importance of value in the provision of this care, discuss how value impacts government relations and payors, and to provide examples of the intersection of value in the delivery of gynecologic cancer care.