The authors describe the recent organization of the pediatric radiation oncology in France. Since 2008, some criteria have been published by the National Cancer Institute and are mandatory to obtain a pediatric radiation therapy agreement. These criteria include clinical activity, on site involvement of the physician in the pediatric staff. Twice a month, a Web conferencing allows a clinical data discussion among the French pediatric RT community. A regular update of criteria is asked in order to adapt them to the new challenge.