I need to set the an environment variable from within Perl. Ideally, I need to query a variable and then change it if it is not what is required. Specifically it is the PATH var
If you need to change environment variables globally and permanently, as if you set it in the control panel, then you have to muck with the registry (update: and now there are modules to do this, Win32::Env and Win32::Env::Path). Note that changing variables in the registry and "broadcasting" the change will not change the environment variables in some current processes, notably perl.exe and cmd.exe.
If you just want to change the current process (and subsequently spawned child processes), then the global %ENV hash variable is what you want (e.g. $ENV{PATH}). See perldoc perlvar.