An uneven distribution of facilities and manpower in Taiwan contributed to the diverse standards among departments of radiation oncology. Cancer patients in various locations cannot receive convenience and quality treatment due to either improper facilities and lack of well- trained oncology staff. This article is to focus on the facilities and manpower evaluation of the current situation in Taiwan. Presently, there are 28 hospitals which have radiation oncology department with a total of 29 high energy linear accelerators and 25 Co-60 machines around the island. There are 77 certified radiation oncologists servicing a population of 20 millions. Currently, there are eight out of 16 counties that do not have radiotherapy service. The distribution of machines and manpower and other related figures will be discussed in the context. Due to the deficiency of epidemiological data on cancer incidence in Taiwan, we are unable to precisely project the required manpower and facilities needed. However, we can evaluate the current situation and the future requirement by comparing the data from the USA and Canada.