This chapter is the essence of why this entire book was created. Developing a community of support for young adults with cancer. Four years of the developing group support in Tucson, Arizona. It reflects upon the evolution of the structure of this ongoing community group. There are details of possible interventions to complete with the young adults in group addressing their experience with cancer. These group activities are accessible for clinicians to utilize in their groups. Evaluations are presented and discussed for options in developing groups in other regions. Ideas about creating a community around the young adult cancer support group are elaborated within the chapter.