A new paper authored by the FIGO Committee on Adolescent and Youth Health explores key aspects of Paediatric Adolescent Gynaecology (PAG), a critical subspecialty in obstetrics and gynaecology, addressing the unique reproductive health needs of girls and adolescents. As global health systems grapple with rising adolescent birth rates, increasing menstrual disorders, and sexually transmitted infections among youth, the demand for specialised, age-appropriate care has never been more pressing. They address unique conditions like menstrual disorders, Müllerian anomalies and adolescent pregnancy with precision and sensitivity across diverse settings. OBGYNs should deepen knowledge of local PAG experts, champion expanded PAG specialised training and foster collaboration, as these specialists are invaluable assets, elevating patient care and supporting OB/GYNs globally. - Nichole Tyson, lead authorBy championing the reproductive rights and health of young people, PAG stands not only as a medical discipline, but also as a movement toward a healthier, more informed and more equitable future for young women and girls.