Gestational trophoblastic neoplasia (GTN) comprises invasive mole (IM), choriocarcinoma(CCM), placental site trophoblastic tumour(PSTT) and epithelioid trophoblastic tumour (ETT). Choriocarcinoma is the most common tumour in this category and is more fatal than the rest. Little is known about GTN in developing countries including the East African region. This study aims to determine the spectrum of GTN affecting thepopulationseekingmanagementinatertiaryhospitalinKenyaandthemortalityratesassociatedwith the disease.