by Jennifer L. Garrison Classifying ovaries solely as reproductive organs has obscured their role as systemic regulators of female physiology. This Perspective makes the case that ovarian aging is a primary determinant of healthspan and belongs at the center of geroscience. Classifying ovaries solely as reproductive organs has obscured their role as systemic regulators of female physiology. This Perspective discusses that ovarian aging is a primary determinant of healthspan and belongs at the center of geroscience.