A cost-effectiveness analysis was conducted on a potential group B Streptococcus (GBS) vaccine for the UK. The analysis found that a GBS vaccine is likely to be a cost-effective intervention based on recent UK data on disease burden and healthcare costs. A GBS vaccine covering 5 major serotypes could prevent hundreds of cases of neonatal and maternal GBS disease annually in the UK and gain thousands of quality-adjusted life years at a reasonable cost. Global analyses also indicate GBS vaccination could significantly reduce disease burden worldwide and be very cost-effective in many countries according to WHO guidelines. More research is still needed to define cost-effectiveness in lower-income settings.