Orphanage trafficking refers to the process of children being transferred or recruited into orphanages for the purpose of exploitation and profit. Whilst much work is being done on strengthening child protection systems and deinstitutionalisation, orphanage trafficking as a driver of institutionalisation remains underresearched despite being an issue that heavily impacts upon the ongoing institutionalisation of children. In some countries, an ‘orphanage industry’ has even emerged due to the high levels of tourist, volunteer and foreign donor interest in assisting orphaned children.