At the 1994 United Nations International Conference on Population and Development (ICPD), women's rights advocates fundamentally shifted the way the global development community views poverty, gender equality and reproductive rights. While the ICPD's call to action led to a marked improvement in reproductive health, more remains to be done to secure the sexual and reproductive rights and health of all, particularly for young people. As we approach the 20-year anniversary of Cairo, several global processes are happening concurrently that have implications for the future of the sexual and reproductive health and rights agenda, including the 20-year review of progress towards achieving the Cairo Programme of Action, the review of the Millennium Development Goals, and the open group discussions about the sustainable development goals and the new development agenda post-2015. There are five key areas of action where significant investment is needed moving forward to ensure young people's access and safeguard their rights: repeal outdated laws and create new policies that safeguard young people's health and rights; provide youth-friendly sexual and reproductive health services; guarantee young people's access to information and education; end gender discrimination and ensure government accountability.