Riyaz Shah, FRCP, PhD, Maidstone and Tunbridge Wells NHS Trust, Kent, UK, shares his highlights from BTOG 2021, in particular talking on data from studies investigating the diagnostic pathway for lung cancer during the COVID-19 pandemic, including the impacts on time to diagnosis and staging. This interview took place during the 19th British Thoracic Oncology Group (BTOG) Annual Conference 2021.