For many youth around the world, and especially unmarried young women and those marginalised by ethnicity or other markers of inequality, the right to reproductive health remains elusive. The objective of this study was to examine the access youth from ethnic minority populations have to basic sexual and reproductive health services. The study also sought to understand their perceptions and those of key community members of the characteristics of youth friendly health services (YFHS) for young marginalised people in the Lao PDR.