Infant malignancy, a poignant facet of Paediatric oncology, encapsulates a spectrum of rare and often devastating neoplastic disorders afflicting children aged zero to two years. Characterized by the unbridled proliferation of abnormal cells in various tissues, infant malignancies encompass a diverse array of cancer types, including neuroblastoma, leukaemia, brain Tumours, and soft tissue sarcomas. Despite their infrequency compared to adult cancers, the unique biological characteristics of infant malignancies pose distinct challenges in diagnosis, treatment, and prognosis. The elusive nature of symptoms in infants often results in delayed recognition, leading to advanced disease stages at presentation. Diagnostic modalities, such as genetic testing and advanced imaging, play a pivotal role in delineating the intricacies of these malignancies, offering insights into targeted therapeutic approaches. Treatment regimens, tailored to mitigate the complexities of developing organs and tissues, may include surgery, chemotherapy, radiation therapy, and, in some cases, stem cell transplantation. The psychosocial impact on families navigating the labyrinth of infant malignancy is profound, necessitating a holistic approach that encompasses emotional support, palliative care, and survivorship programs. The scientific community continually strives to unravel the underlying molecular mechanisms driving infant malignancies, fostering the development of innovative therapies and targeted interventions. Collaborative efforts between researchers, healthcare professionals, and advocacy groups aim to improve outcomes, reduce treatment-related morbidities, and enhance the quality of life for infants facing the formidable challenge of malignancy. Despite advancements, the journey through infant malignancy remains a poignant narrative of resilience, hope, and the ongoing pursuit of medical breakthroughs to safeguard the vulnerable lives at the intersection of infancy and cancer.