What to ask your cancer doctor and care team: a checklist by diagnosis, treatment, side effects, cost and support

This is a checklist to prepare before a visit, not a script to interrogate your care team. Each time, pick the three to five questions that matter most and ask them in your own words. Ask the treating doctor about diagnosis and treatment; for appointments, reports, fees, insurance and support, ask the relevant staff — you will usually get a clearer answer faster.

Who to ask for what

The treating doctor handles diagnosis, treatment choices and medical risks; nurses or case managers help with the treatment process, day-to-day arrangements and emergency contacts; the appointments, test or medical-records offices handle scheduling, reports and copies; the billing office and the insurer explain the hospital bill and your policy cover respectively; medical social workers, dietitians and other allied-health staff provide the matching support.

Four things to settle first

What you can askWho to ask
What is the very first step I need to take now?Treating doctor
Is the pathology diagnosis and staging complete? What reports or tests are still missing?Treating doctor
Which specialty and which doctor will mainly follow my case? Who should I see next?Treating doctor or specialist nurse
By when do I need to decide on treatment? If I want a second opinion, is there still time?Treating doctor

Diagnosis and staging

What you can askWho to ask
Which type of cancer do I have? What stage is it now?Treating doctor
Which pathology, imaging or laboratory results is this diagnosis mainly based on?Treating doctor
Does this cancer generally grow or spread quickly? What does the doctor base that judgement on?Treating doctor
Are any important results still pending? Could the pending results change the stage or the treatment direction?Treating doctor
At this stage, is the treatment goal cure, controlling the disease, or relieving symptoms?Treating doctor

Tests and reports

What you can askWho to ask
Which further tests do I still need? What is each test mainly trying to find out?Treating doctor
How should I prepare before the test? Do I need to fast, stop any medicine, or arrange for a family member to come with me?Nurse or test department
What risks or side effects might this test have? In which situations should I seek help?Treating doctor or test department
Does this test involve radiation? If so, how should I understand the risk?Treating doctor or radiology staff
How long after the test will the report be ready? Who will notify me? If I don't hear back, who should I contact?Test or appointments office
If I want copies of my records, pathology report, images or laboratory results, how do I apply?Medical records or imaging office
If I transfer hospital or seek a second opinion, how are the reports, images, pathology slides or blocks handed over?Medical records office or new care team

Care team and specialties

What you can askWho to ask
Which specialties will be involved in my care? What is each mainly responsible for?Treating doctor
Given my situation, besides oncology, which other specialist doctors do I need to be followed by?Treating doctor
Which doctor coordinates the overall treatment plan and the arrangements across specialties?Treating doctor or specialist nurse
How will my treatment be discussed and followed up jointly across the different specialties?Treating doctor
Which other health staff will be involved, for example a dietitian, physiotherapist or medical social worker?Specialist nurse or case manager
If I have questions about the process or appointments, who should I usually contact?Specialist nurse or case manager

Treatment options

What you can askWho to ask
What are the common treatment options for my type of cancer at the moment?Treating doctor
Which option do you recommend more? Why is it more suitable for my situation?Treating doctor
For each option, what are the treatment goal, expected benefits, main risks and trade-offs?Treating doctor
What effectiveness and common risks does medical research generally show for this treatment? How relevant are those figures to my situation?Treating doctor
What changes should I expect to see after treatment? By what method and at what time points will the effect be assessed?Treating doctor
If the first option does not work as hoped, what is usually arranged next?Treating doctor
If treatment needs to be delayed, the dose adjusted or the regimen changed, how will the doctor assess the impact?Treating doctor
If I agree, could you explain the condition and treatment plan to me together with my family?Treating doctor

Treatment process and logistics

What you can askWho to ask
When do I need to start treatment? How much time do I have to consider before deciding on an option?Treating doctor
How long does each treatment take, how often is it, and roughly how long is the whole course?Specialist nurse or treatment centre
Does treatment require admission, or can it be done as a day case or outpatient?Specialist nurse or treatment centre
On the day of treatment and afterwards, what sensations or reactions might there usually be?Specialist nurse
Can a family member accompany me during treatment?Treatment centre or appointments office
On the day of treatment, can I drive myself or take public transport? Do I need to arrange a pick-up? Does the hospital have parking?Treatment centre or hospital enquiry desk
In the first few days after treatment, can I stay at home on my own? Do I need someone to accompany or care for me?Specialist nurse
During treatment, which foods, medicines, supplements or activities should I avoid?Treating doctor, nurse or pharmacist
During treatment, can I work, exercise, drive or care for my family?Treating doctor or specialist nurse
In an emergency, who should I contact? Which phone numbers do I need to note down?Specialist nurse
Which symptoms mean I should go to A&E right away rather than wait for the next follow-up?Treating doctor or specialist nurse

Side effects and long-term effects

What you can askWho to ask
What are the common and the more serious side effects of this treatment?Treating doctor or specialist nurse
When do side effects usually appear, and how long do they last?Treating doctor or specialist nurse
Are there ways to prevent or ease side effects? Which medicines or supplies should I prepare in advance?Treating doctor, nurse or pharmacist
If a common side effect appears, how can I manage it first? In which situations should I contact the care team?Specialist nurse
If a serious side effect appears, who should I contact during and outside office hours respectively?Specialist nurse
Will treatment affect fertility, sexual function, menopause or long-term life? If this matters to me, when should I raise it?Treating doctor

Second opinion

What you can askWho to ask
If I want to understand other options better, is this a suitable stage to get a second opinion?Treating doctor
Should a second opinion come from the same specialty, a different sub-specialty, or a different care team?Treating doctor or specialist nurse
Before getting a second opinion, which pathology reports, images, laboratory results and treatment records should I prepare?Medical records office
If the two doctors advise differently, could you help me understand the main differences and trade-offs?Second doctor

Clinical trials

What you can askWho to ask
Are there any clinical trials that would be suitable for me to learn about now?Treating doctor
Given my situation, might I meet the eligibility criteria to take part?Treating doctor or research team
What are the purpose, possible benefits, risks and extra arrangements of taking part?Research team
Would joining a clinical trial affect my current treatment, follow-up, costs or insurance arrangements?Research team and insurer

Costs and insurance

What you can askWho to ask
Roughly which costs does the whole treatment involve? Could you provide a written estimate first?Billing office or hospital staff
Does the quote include the doctor's fee, hospital fee, drug costs, test fees, anaesthetist fee and follow-up fees?Billing office
Which drugs, tests or treatment items are self-financed or not subsidised?Treating doctor or pharmacist
If a treatment or drug is not subsidised or covered by insurance, is there another clinically suitable option?Treating doctor
What does my policy require regarding a referral letter, pre-authorisation, or a designated doctor or hospital?Insurer or intermediary
Could you provide a quote, diagnosis certificate, referral letter and an itemised bill to help with a claim?Hospital or clinic staff

Support and care

What you can askWho to ask
If I have no insurance or the out-of-pocket pressure is high, which fee waivers, funds or drug subsidies can I enquire about?Medical social worker
If I have difficulty with finances, caregiving, emotions or family arrangements, what support can I get?Medical social worker
Where can I get reliable information about my disease and treatment that is suitable for patients to read?Specialist nurse or cancer support organisation
Are there patient groups, cancer support organisations or carer support services?Specialist nurse or cancer support organisation
If my appetite, weight or eating is affected, how should I adjust?Dietitian
What adjustments do I need to make to exercise, sleep, smoking, drinking or other lifestyle habits?Treating doctor or specialist nurse
After discharge, if I need home care, rehabilitation or community services, who do I ask?Medical social worker or discharge support team
If I or my family are finding it emotionally very hard to cope, who can I turn to for help?Medical social worker, psychological services or specialist nurse

What to bring to the first appointment

Proof of identity, your appointment details and a referral letter (if any)

Pathology, laboratory and imaging reports, plus imaging discs, USB drives or online links (if any)

Records of past outpatient visits, hospital stays, surgery and discharge

A list of all current prescription drugs, over-the-counter medicines, Chinese medicine, health products and supplements, with doses

Allergy records, other chronic conditions and side effects from past treatment

Medical insurance or company medical details (if you need to ask about claims or pre-authorisation)

The three to five questions you most want to ask; if it helps, bring a family member to come along and take notes

Related guides

For a second opinion: see how to prepare for a second opinion; if two doctors advise differently, see what to compare when two doctors disagree.

To get copies of your records, pathology reports and images: see how to get your own medical records and images.

Fee waivers, funds and drug subsidies: see cancer financial support in Hong Kong.

What to bring and ask before seeing a doctor: see how to prepare for a specialist appointment.

How oncology is divided: see clinical oncology vs medical oncology.

How to use this page

This is a list of questions to help you prepare, not a personal diagnosis or treatment advice. The effectiveness, risks and timing of treatment should be explained by your doctor according to the cancer type, stage, your condition and the treatment plan.

Frequently asked questions

Do I have to ask every single question?

No. Each time, pick the three to five questions that most affect your next step. Keep medical questions for the treating doctor, and let the relevant staff handle the process and support questions.

Will asking for a second opinion make it look like I don't trust my doctor?

You can open with 'I'd like to understand the different options better' — the point is to clarify the plan, not to doubt any one doctor. Whether you need a second opinion is also something you can first discuss with your treating doctor.

Can I bring a family member to hear the doctor's explanation?

You can raise this when booking or at the visit. The actual arrangement depends on the clinic or hospital's rules, the consultation setting, and whether the patient agrees to the care team sharing their condition with family.