which ones? all of them?
each planet has commendations and you can turn those in at certain vendors on the planet (or the fleet station) for items, gear, modifications, etc.
PvP has commendations and those work to get PvP gear and rewards/items
Same with starship commendations
this is a good way to constantly upgrade your gear as you quest on planets or move to the next. you cannot exchange planet commendations so you just spend them as you get them for something you find useful.
if NOTHING is useful then you can always buy the "lockboxes" which give a random reward depending on the level of the lockbox.
PvP commendations get a bit complicated but essentially they work the same way.