Gynecologic cancers are particularly devastating when diagnosed in young women and children and we have a devoted team dedicated to caring for these patients. When young people undergo life-saving cancer therapies, they are at risk of infertility and its long-term effects. We have developed expertise in management of rare gynecologic malignancies presenting in young women and children with a focus on fertility preserving minimally invasive surgery. Realizing that there are distinct differences in care for these populations, we collaborate with the pediatric team at the Hospital for Sick Children to develop unique, multidisciplinary management protocols for these unique patients.