Santhosshi Narayanan MD is deeply involved in the development of Integrative Oncology at The University of Texas MD Anderson Cancer Center in Houston, Texas, where she is currently an Associate Professor in the Department of Palliative, Rehabilitative and Integrative Medicine. Dr Narayanan explains the services now on offer to those with cancer, the way these interface with conventional oncology services, and the impact that an integrative programme can have on patient experience and outcome. She also looks to the future and the additional services now in development.