Super 304H is a new generation of advanced austenitic stainless steels that is increasingly being used in superheater/ reheater (SH/RH) sections of thermal ultra-supercritical steam power plants due to its high creep strength combined with good oxidation resistance and microstructure stability. However, recent studies have shown significant microstructural changes and associated degradation in creep performance during long-term service exposure in this alloy. Microstructure evolution during service and its effect on the long-term creep performance has not been comprehensively assessed. In this work, variations in the microstructure of long-term service exposed Super 304H RH tubes (~99,600 hours at 596°C steam temperature) are documented. The results for the ex-service material are compared to well-documented laboratory studies to provide perspective on improved life management practices for this mainstay advanced stainless steel.