Purpose of review: To review the assessment and management of early germ-cell tumours.
Recent findings: A role has evolved for adjuvant chemotherapy in stage I disease postorchidectomy and in the primary management of stage II disease.
Summary: A range of approaches offer high survival in early germ-cell tumours. Treatment should factor in patient choice and resource issues. More sensitive imaging with Positron Emission Tomography may allow more appropriate treatment decisions.