As medical science allows us to become more proficient at saving the lives of pediatric cancer patients, their need for survivorship support in adolescence and adulthood has grown. Approximately two out of three children experience at least one long term side effect (late effect) of treatment. These side effects may affect any organ depending on the primary cancer diagnosis and the treatment the child received. These may include damage to the heart, lungs, kidneys, sexual organs, as well as cause psychosocial, emotional effects and learning difficulties. In addition, there may be difficulty in obtaining health and life insurance as well as possible discrimination in adulthood obtaining a job.