The best way to fight cancer is to hit it early and improvements in diagnosis accuracy. Diagnosis accuracy such as using a digital mammogram/ MRI instead of conventional mammograms or ultrasound has helped identify suspicious lesions more accurately than their historical counterparts. Secondly image guided biopsies have helped reduce false negative rates. Usage of PET CT compared to conventional CT/Ultrasound of abdomen and pelvis and bone scan to radiologically stage cancer has helped to accurately stage disease and facilitate the right treatment. Use of tumour markers such as Prostate specific antigen, CA19-9, CEA, AFP etc and other immunohistochemical markers have helped us arrive at an accurate pathological diagnosis. Tertiary cancer referral centres are concentrated disease. Impetus has to be given to early diagnosis to facilitate good cure rates and reduce the cost of the treatment and debility due to disease ad treatment.