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The Dominican Republic (DR) is an upper-middle-income country that has taken several strides to address cancer care at the national level (1). The International Atomic Energy Agency (IAEA) performed an analysis of the radiation therapy resources in 2004 and noted 3 radiation therapy centers with deficiencies in equipment as there were only 3 cobalt (60Co) teletherapy units and 1 linear accelerator (2). Afterward, an effort was undertaken to characterize the resources available for cancer care by the Fundación Plenitud, though only the resources of 2 radiation therapy centers were analyzed (3). Since 2010 there has been a dramatic expansion of radiation therapy services in the DR, warranting further characterization. There is limited information on radiation therapy practices in Latin America and the Caribbean (LAC)(2, 4-8). Delivering high-quality radiation therapy in settings where resources are limited can be …