Massage has been available systematically at Memorial Sloan-Kettering Cancer Center (MSKCC) since establishment of the Integrative Medicine Service in 1999. Twelve licensed massage therapists treat inpatients and also provide massage therapy at our outpatient facility. Patients who receive integrative medicine therapies record symptom scores before and after treatment as a routine part of clinical management. To avoid bias, staff not associated with the evaluation, rather than therapists, provide cards on which patients complete symptom rating scales. These cards are placed privately by patients in a closed box. Only research staff work with the completed cards. Data from these scores, reported here, shed important light on the management of common and often refractory symptoms experienced by patients with cancer.