The ongoing servitization journey of the manufacturing industries instills a through-life perspective of value, where a combination of products and services is delivered to meet expectations. Often described as a product-service system (PSS), these systems are poised with many complexity aspects, introducing uncertainties during the design phase. Incorporating changeability is one of the known strategies to deal with such uncertainties, where the system changes in the face of uncertainty to sustain value, thereby achieving value robustness. While the theme of dealing with multiple uncertainties has been discussed since the inception of PSS, changeability is still poorly addressed. To bridge this gap, an integrative literature review is performed to outline various complexities aspects and their link to uncertainty from a PSS perspective. Also, the state-of-the-art approach to achieving value robustness is presented via changeability incorporation. Subsequently, a reference framework is proposed to guide decision-makers in changeability incorporation in PSS, especially during the early design stages.