Survivorship: Obstacles & Opportunities Susan Nessim and Diane Shader Smith Adapted for the Canadian edition by Richard Hasselback, MD When treatment was over and I had to go back to the real world, the world outside the hospital, I thought my life would be the same. I went about doing things the way I'd always done them, but nothing worked. You're not the same person. You can never go back. —Anita, 38-year-old breast cancer survivor. The concept of cancer survivorship is quite new but is finally being recognized. The 800,000 survivors in Canada are a living testament to the fact that cancer is not always a death sentence. Thanks to medical advances in diagnosis and treatment, we can confidently look beyond the disease process to life after cancer.