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A growing body of literature has documented the impact of conflict on cancer care.1 Researchers working in the Middle East, Ukraine and several parts of Africa have shown that war impacts cancer diagnosis,2 reshapes access to cancer services,3 disrupts supply chains and alters treatment pathways.4 The recently published review article on cancer care in wartime Ukraine is an important contribution to this wider scholarship.5 One of its central claims is that oncology services in government-controlled oblasts have been restored to prewar levels, even as the war continues. That recovery, the authors rightly note, reflects the ingenuity and adaptability of Ukrainian oncologists and policy makers, who have used whatever means were available to sustain continuity of care. The result is a level of functionality in cancer services that would have seemed improbable in the first weeks and months after the full-scale invasion in 2022.6