Survival rates among young cancer patients have increased over the past few decades due to the development of more effective cancer treatments. Unfortunately, cancer treatment consisting of chemotherapy, radiation, or surgery can sometimes negatively affect a young man’s ability to produce sperm. Therefore, today, there are more young men who survived cancer treatment but are unable to have biological children. The mission of our Oncofertility team is to provide multidisciplinary care to boys and young men facing a diagnosis of cancer with impending treatment that may affect fertility. Our goal is to provide insight into the cancer treatment, long term effects on fertility, options for sperm retrieval and/or freezing (cryopreservation) and provide long term guidance on fertility issues as the patient moves into adulthood.