This talk will provide a state-of-the-art summary of advances in approaches to gout management. The general concepts of gout management will be described. The update will cover gout flare management, indications for urate-lowering therapy, choice of first line urate-lowering therapy, and use of anti-inflammatory prophylaxis. The talk will also discuss the impact of the COVID-19 pandemic on gout management, and provide strategies for improved gout management.