Despite an increasing number of studies utilizing various agents and protocols, the disease free interval and survival rates in patients with recurrent ovarian cancer are usually measured in months instead of years. The optimal therapy strategy should be determined using informed decisions based on realistic treatment outcomes, quality of life issues, and cost containment. Curr Opin Obstet Gynecol 11:11-15. (C) 1999 Lippincott Williams & Wilkins.