Soybean aphid, Aphis glycines Matsumura, remains the key insect pest of soybean, Glycine max (L.) Merrill, in the north-central United States. Management of this pest has relied primarily on scouting and application of foliar insecticides based on an economic threshold (ET) of 250 aphids per plant. This review explains why this ET remains valid for soybean aphid management, despite changes in crop value and input costs. In particular, we review how soybean aphid impacts soybean yield, the role of biology and economics in recommendations for soybean aphid management, and the shortand long-term consequences of inappropriately timed insecticide applications.