In this talk, the speakers will discuss an anthropological study conducted in The Gambia which aimed to understand HPV vaccination acceptance and perceptions. The team analysed in depth: uptake, knowledge, and perceptions of HPV vaccination, as well as trust in Ministry of Health vaccination advice. The speakers will discuss why, despite high uptake rates, knowledge of HPV vaccination was low, as well as possible reasons why the most prominent concern was that the vaccine could cause infertility or is a form of population control.