PURPOSE: Little is known about oncofertility practice in developing countries that usually suffer from a shortage of health services, especially those related to cancer care. ...Responses from Egypt, Tunisia, Brazil, Peru, and Panama were collected, reviewed, and discussed. RESULTS: Common barriers were identified by each country, including financial barriers lack of insurance coverage and high out of pocket costs for patients , lack of awareness among providers and patients, cultural and religious constraints, and lack of funding to help to support oncofertility programs. ...