Background: Gynecologic oncologists’ (GO) approaches to palliative care team (PCT) consultation for managing patients with malignant bowel obstruction (MBO) from recurrent gynecologic cancer remains unknown. Methods: GO practicing in a large metropolitan area underwent semi-structured interviews exploring their approaches to PCT involvement at the time of diagnosis of a MBO and factors leading to specific recommendations. Interviews were analyzed using theoretical and open coding qualitative analysis. Results: 15 GO completed interviews. They were in academic (93%), urban (67%) settings and at a range of timepoints in their career. GO expressed mixed feelings regarding PCT consultation for their patients with MBO. Many were comfortable managing symptoms (pain, nausea) and limited consultations to uncontrolled symptoms. Others involved PCT for ongoing support regardless of symptom severity. GO were less likely to involve PCT to help with goal-setting discussions. Many GO held a “the earlier the better” stance, preferring to involve PCT in the outpatient setting. At a high-risk decision-point, such as MBO, these physicians felt that PCT consultation was overdue. In this setting, most participants reserved PCT consultations only for patients who were not surgical candidates. Barriers to PCT consultation for women with MBO centered around GO concerns that involving another team fragments care. Participants feared involving PCT would complicate patients’ experiences by requiring additional appointments, suggesting potential abandonment from their GO, and including an additional, potentially conflicting, source of information. Many GO mentioned they chose gynecologic oncology for the continuity of care and leading role in a patient’s cancer care. Conclusions: Overall, GO expressed comfort involving PCT outside of critical decision-points, yet were reticent to involve PCT at the time of MBO due to concerns of requiring the patient to deal with another team. Early incorporation of the PCT through a standardized co-management system in a GO outpatient clinic may improve communication and reduce barriers to PCT involvement.