Our program of research has documented gains in function from early/ preemptive cancer rehabilitation. Moreover, the application of early intervention, education and active rehabilitation before and during cancer treatment are now demonstrating specific beneficial effects from other rehabilitative areas. Unfortunately research suggests that there is major discrepancy between the incidence of disabling impairments following cancer and the provision of comprehensive rehabilitation services to address these problems. While multidisciplinary approaches to the development of primary cancer treatment plans are a standard of care, formalized approaches to rehabilitation, especially pre-emptive early intervention, for these same patients is unique. For a new model of preemptive rehabilitation to be effective, active recognition of impairments as remediable, knowledge of rehabilitation options, early intervention strategies and referral mechanisms becomes paramount. Few, if any, oncology systems manage to accomplish this. My ongoing interest is in the development of this model, a formalized, coordinated and integrated preemptive cancer rehabilitation model established and integrated into cancer centers.