Creating sustainable shareholder value is one of the main strategic objectives for financial institutions. This text provides a detailed analytical assessment of shareholder value creation. The first part provides a framework for analysing shareholder value theory by discussing how shareholder value can be defined, if it can be considered a valid strategic objective for banks, and how it can be measured and created. The second part presents various empirical investigations in to order to measure shareholder value and some of its drivers. The final part analyses the importance of these drivers in creating shareholder value and develops a new measure of bank efficiency.