NarayanaSuperspeciality Hospital, Guwahati (Amingaon), a unit of Narayana Health has started a Gastrointestinal and hepato-pancreatico-biliary tumor board. that focusses specifically on management of Gastrointestinal cancers. The dedicated tumor board consists of foremost experts in their respective fields. Narayana Health has the largest Oncology Collegium in the country. All major surgeries (esophagectomy, gastrectomy, colectomy, whipples procedure, liver resection, gall bladder cancer resections etc.) are routinely performed with excellent outcomes. Gastroenterology procedures like endoscopy, ERCP, PTBD are regularly performed. \u201cSurgery forms the most important component in curable GI cancers. Narayana Health Guwahati has an excellent GI surgical team headed by Dr Digvijoy Sharma, MS, DNB(G.I surgery, NIMS, Hyderabad) ,\u201d said Dr Naresh Jadhav MD, DM(Oncology,JIPMER), HOD dept. of Oncology Narayana Superspeciality Hospital, Guwahati. The dedicated Medical Oncology unit in the hospital provides services like chemotherapy, targeted therapy, and immunotherapy of the highest standards and in accordance with international guidelines and protocols. The unit has the expertise and experience to administer and manage complicated chemotherapy protocols keeping a very high benchmark for patient safety. Narayana Hospital takes immense pride in providing these high end and sophisticated treatments even to the most marginalized section of our population, free of cost through various government health schemes. Gastrointestinal cancers refer to cancers that arise in the gastrointestinal system proper and the hepato-pancreatico-biliary system which consists of organs like liver, gall bladder, biliary tract and pancreas.Use of tobacco (smoked and smokeless), alcohol, and beetle nut are responsible for majority of GI and HPB malignancies. Obesity, excessive consumption of red meat, diet poor in fibers and vegetables are an important risk factor for lower GI (colon, rectum) malignancies. For HPB malignancies, gallbladder stones, chronic hepatitis b, c infection, alcohol use, chronic pancreatitis, are some of the known and relatable risk factors.