The cancer care landscape in India is shifting focus from metropolitan areas to tier-2 and tier-3 cities, as healthcare providers respond to a growing demand for services driven by increased cancer awareness and screening. Hospitals and diagnostics firms are expanding their reach to these smaller cities to meet the rising patient load and reduce the need for patients to migrate to larger cities for treatment. For instance, 4baseCare, a cancer genomics firm, is setting up facilities in cities like Srinagar and Guwahati to provide advanced genomic testing closer to patients. The costs associated with establishing these facilities, however, remain high, with lab setups ranging from ₹3 crore to ₹10 crore (approximately $360,000 to $1.2 million USD). Additionally, organizations like the Access Life Assistance Foundation are decentralizing support services for pediatric cancer patients, aiming to alleviate the financial burden on families. MOC Cancer Care and Research Centre is also expanding its network of community cancer centers, anticipating that the next phase of oncology growth will occur in smaller cities. Despite the potential for growth, challenges such as affordability and the availability of specialists persist, necessitating innovative community-based care models.