Welcome to Fifth and Missing, a creative design and development agency that brings bold ideas to life through strategy, design, and technology.
The name is inspired by Fifth Avenue in New York, home to some of the world’s most iconic and sophisticated brands. It reflects our mission: to deliver big-agency creative, without the big-agency friction. We offer high-end advertising and design solutions, without the layers, delays, or handoffs.
Founded in 2003 as a one-person creative studio, we’ve grown into a multidisciplinary team of designers, developers, writers, and strategists. What began as a passion for clean, purposeful design has evolved into a full-service agency trusted by startups, nonprofits, and global brands alike. Based in the Toronto area, we serve clients locally and across North America.
We’re also proud to support a wide range of faith-based organizations, educational platforms, and socially conscious initiatives, helping these community-critical agencies to communicate with clarity, warmth, and purpose. With many of our clients working to make a tangible impact in their communities, we bring the same level of strategic and creative focus to every project, regardless of size or sector.
- Founded in 2003
- Full service design agency
- Multinational team
- Diverse clientelle
- Strategic & agile approach to projects
- Experience working in the medical device and pharma spaces
At our core, we’re problem solvers. Our services are tailored to your needs and built to perform:
- Branding, graphic design, and print production
- Website design + development (WordPress, Shopify, Laravel, .NET, PHP, HTML/CSS, Liquid, JavaScript)
- AI-integrated creative workflows using platforms like ChatGPT, Gemini (Veo 2 + Veo 3), ElevenLabs, and Krea.ai to support ideation, prototyping, and asset generation
- SEO, digital strategy, and content marketing
- Copywriting and campaign messaging
- Amazon storefront design and product rendering
- Photography, illustration, and motion graphics
We also bring deep experience in regulated industries, particularly pharmaceuticals and medical devices—where creativity must meet compliance. Our team understands the nuance of working within strict compliancy frameworks while still creating clear, engaging communications that connect with your audience. We speak both design and regulatory fluently.
We’re proud to have been named IQVIA’s 2020 Marketing Agency Partner of the Year, and we remain proficient in the platforms and tools that matter most to our clients, including:
- Adobe Creative Suite (Photoshop, InDesign, Illustrator, After Effects, XD)
- Custom CMS and eCommerce platforms (Shopify, WooCommerce, etc.)
- Multichannel campaign integration (IQVIA OCE, Veeva).
- Payment gateways including Stripe, PayPal and Windcave
Multidisciplinary by Design
From brand identity and digital design to backend development and social content,
we unify creative disciplines in-house to deliver cohesive, strategy-led results.
Concept-First Thinking
Our name also hints at how we work: we believe the best ideas often come from what’s
missing—the space between what’s said and what’s felt. We find the story between the lines.
Boutique Attention, Big-Agency Standards
You’ll work directly with the people doing the work. No account layers, no
fluff, just clear communication and polished execution.
Creative Meets Compliance
We’re fluent in both storytelling and regulatory review. Especially in healthcare,
we balance precision and empathy to create meaningful, compliant work.
Fast, Reliable, Accessible
Clients come back to us for a reason. We meet deadlines, stay communicative, and get things done—no drama, just results.
Whether you're a startup launching your first brand or an established company ready for a rebrand, we'll help you navigate today’s fast-paced digital landscape with confidence.
We believe that great design isn’t just about looking good—it’s about creating meaningful connections. That’s our purpose: to transform your ideas into visuals, words, and experiences that make a lasting impact.