The Minimum Sum Vertex Cover (MSVC) problem asks for an ordering of the vertices of a graph that minimizes the sum, over all edges, of the time at which each edge is first covered. We study the problem through the structure of vertex covers and obtain new approximation and exact algorithms, together with conditional lower bounds. For graphs of maximum degree $Δ$, we show that a simple ordering algorithm based on a minimum vertex cover achieves approximation ratio $R_Δ\le {(\sqrtΔ+1)}/{2}$. For $d$-regular graphs, we give a polynomial-time $1.184$-approximation by combining Max-$k$-Vertex-Cover approximation with a structural bound on optimal prefixes. On the exact side, we give an algorithm parameterized by the vertex cover number $k$ running in $2^{O(k\log k)} + O(n+m)$ time, improving the previous dependence on $k$, where $n$ and $m$ are the number of vertices and edges in the graph, respectively. We also develop a separator-based exact algorithm running in $ 2^{O(\sqrt n \log n)}$ time on planar, bounded-genus, and fixed-minor-free graph classes. Finally, we prove that Minimum Sum Vertex Cover is NP-hard on planar graphs and, assuming ETH, admits no $2^{o(\sqrt n)}$-time exact algorithm on $n$-vertex planar graphs. Thus our planar upper bound is tight up to logarithmic factors in the exponent.

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