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Objectives Resilience can counterbalance difficulties even in case of significant medical conditions. We aimed to assess resilience and associates among young children with medical complexity in Turkey.Methods In this cross-sectional study, 2-6 year old children with medical complexity (meeting all criteria: a) chronic health conditions affecting multiple organ systems, b) functional impairments, c) requiring high healthcare services, d) reliance on medical tool/technology) followed at Ankara University School of Medicine Developmental Pediatrics Division between June 1st 2021-June 1st 2025 were invited and whose families provided consent were included. The Expanded Guide for Monitoring Child Development and the Resilience Scale for Young Children were used to assess resilience and related factors.Results Of 3918 children followed during the study period 61 (1.6%) had medical complexity and 39 (63.9%) comprised the sample (median age: 52.0 months, min-max: 24-74, 51.3% girls). The most common diagnosis was cerebral palsy (19 children, 48.7%) and most prevalent reliance of medical tool was having a nasogastric tube in 15 (38.5%) children followed by tracheostomy (35.9%). Most children (94.9%) exhibited developmental delays in multiple domains. Fifteen (38.5%) mothers reported feelings of depression, and this was associated with the child’s lower ability to focus (OR=5.70, 95% CI: 1.37–23.26, p=0.013) in the resilience scale. Children whose mothers had <12 years education showed a significantly lower frequency of having their own favorite toys/books (OR=3.93, 95% CI: 1.03–14.99, p=0.041) and were less frequently observed to appear cheerful (OR=5.50, 95% CI: 1.22–24.81, p=0.020).Conclusions Our results imply that mother’s education and depression are associated with their child’s resilience and the importance of providing biopsychosocial interventions to promote resilience.