The article analyzes the difficulties and challenges in the management of sex education for students in junior high schools for ethnic minorities in Cao Bang province. The authors used the method of theoretical research, survey by questionnaires and interviews with managers to find out the current status of the management of sex education for students, analyze the causes of difficulties. , inadequacies in order to propose solutions to improve the quality of sex education management for students in junior high schools for ethnic minorities in Cao Bang province. The proposed measures contribute to changing awareness and thinking, renewing the management model of sex education for students in accordance with the actual conditions of the School.