Public finances will be under increasing pressure in the medium term. Tools such as spending review, which help governments prioritise and reallocate spending, are likely to be increasingly important. Integrating a gender perspective will ensure that budget reprioritisation does not increase gender gaps, but instead supports the achievement of gender goals – which can bring economic and fiscal dividends. This paper highlights the different ways in which countries are experimenting with integrating a gender perspective to spending review, as well as some of the key considerations that should be taken into account in the process.