Over the past 20 years, there has been growing interest in the possible economic impacts of pollination service loss and management. Although the literature area has expanded rapidly, there remains ongoing debate about the usefulness of such exercises. Reviewing the methods and findings of the current body of literature, this review highlights three major trends: (i) estimated benefits are heterogeneous, even when using the same method, due to several often-neglected factors. (ii) The current body of literature focuses heavily on the developed world, neglecting the effects on developing countries. (iii) Very few studies are suitable for informing management and policy. The review highlights the need for fully interdisciplinary work that embeds stakeholders and economic impacts into primary ecological research.