Children and youth account for a significant proportion of persons trafficked from and within the Balkan region. Both boys and girls are trafficked. Some are exploited sexually; others are exploited for different forms of labor, including begging and street selling. Still others suffer multiple forms of exploitation while trafficked. Reintegrating trafficked children presents particularly complex issues and challenges. This paper discusses each of the different services and types of support needed to meet the reintegration needs of trafficked children and youth in the Balkan region and in line with international standards. It also looks into challenges facing service providers in offering this support to trafficked children and youth, including: the identification of trafficked children, options for providing foster care, and prosecution of perpetrators due to gaps in the criminal code. This paper offers recommendations about how each service area might be enhanced to better meet the reintegration needs of trafficked children and youth.