Although many attempts are made at starting cancer support groups, few groups ever stand the test of time. Using a successful, long-standing program as a model is an important first step to establishing a new group. The intricacies of staffing, obtaining resources, and marketing are important factors in maintaining a program for any extended length of time. No matter how much a group is wanted or needed, pitfalls that threaten its existence are bound to occur. Overcoming these pitfalls is the key to a lasting support program.