Simple Summary: One out of every 650 children is affected by cancer, and about half of survivors become permanently infertile due to the side effects of cancer treatments. Pre-treatment testicular biopsies can be collected and cryopreserved for future use to uphold biological fatherhood. Currently, the only safe approach to produce haploid germ cells is through in vitro spermatogenesis (IVS), which has only been fully achieved in mice. Pigs are a more suitable animal model for the study of testicular development and IVS, not only because of their anatomical and physiological similarities to humans but also their long prepubertal period. This study explored optimal conditions for the long-term culture of neonatal porcine testicular tissues as a first step in achieving IVS from pigs, as a model. In this study, we investigated the effects of testicular tissue size, tissue preparation method, and serum source in media on long-term culture of neonatal porcine testicular tissues. We showed that small intact testicular tissue fragments (~2 mg) cultured in knockout serum replacement could be effectively maintained in vitro for up to 4 weeks of culture. Moreover, the presence of viable germ cells after 4 weeks of culture indicates that this approach may be applicable for IVS in pigs. Long-term culture of testicular tissue has important applications, including the preservation of fertility potential of prepubertal boys undergoing gonadotoxic cancer treatment. This study was designed to define optimal conditions for the long-term culture of neonatal porcine testicular tissue as an animal model for preadolescent individuals. Testes from 1 wk old donor piglets were used to examine the effects of tissue fragment size (~2, 4, 6, or 8 mg), preparation method (intact, semi-digested, or physically dispersed fragments), and serum source in the media (fetal bovine serum—FBS—or knockout serum replacement—KSR). Testicular fragments were examined weekly for 4 weeks for tissue integrity, seminiferous cord density and morphology, and gonocyte counts. Testicular tissue integrity was dependent on fragment size and preparation method, where the smallest size (2 mg, p < 0.05) and intact preparation method were advantageous (p < 0.05). Seminiferous cord density decreased over the culture period (p < 0.05). Although the relative number of gonocytes decreased over time for all sizes and methods (p < 0.01), smaller intact fragments (2 and 4 mg) had greater numbers of gonocytes (p < 0.05). Our findings suggest that intact or physically dispersed testicular fragments of the smallest size (2 mg) cultured in KSR-supplemented media could be effectively maintained in vitro for the duration of 4 weeks. [ABSTRACT FROM AUTHOR]