Formal cancer survivorship care is a growing focus internationally. This article provides a broad overview of the national strategies currently in progress for the development of survivorship programs and care plans within the United States and across Europe. The different approaches taken in their implementation, staffing, and clinical focus are highlighted, with an emphasis on how they are incorporated into various models of care. The considerable variation in making survivorship a formal period of care across countries and health care systems is discussed, including the factors influencing these differences. A review of research focused on the evaluation of definitions and outcomes is provided along with a discussion of important areas requiring future research. Cancer 2013;119(11 suppl):2179‐86. © 2013 American Cancer Society. Care planning, based on a holistic assessment of immediate and long‐term goals for recovery and including surveillance guidance for disease recurrence and late effects, guides the provision of support, self‐management, medical services, rehabilitation, and lifestyle advice. Survivorship programs, which implement these plans to promote and support health, are explored in this article, with key components identified and contrasted across the United States and Europe exploring the evidence base for benefit.