Surface-guided radiation therapy (SGRT) is not simply about managing movement; it's an advanced technology that enhances radiation therapy by using the patient's three-dimensional surface to improve accuracy and real-time reprogramming of the patient's position. Surface guidance in the radiation basement eliminates the need for tattoos, markings, and restrictive restraints. The radiation dose is very high in a single session or multiple intensive sessions. A tumor might be located near a very sensitive organ, such as the optic nerve (1 mm away), and radiation could affect the optic nerve. With this technology, the error is reduced to fractions of a millimeter. Furthermore, tumors near the heart (such as breast cancer, which is common in women) could cause radiation to reach the heart, and the patient might already have heart problems, increasing their risk of cardiac complications. With this technology, the radiation dose reaching the heart is reduced to zero. This highlights the importance of this technique. The advantage of this technology is its integration with a linear accelerator. Warith International Hospital and Al-Thaqalain Hospital have become the first centers in Iraq to exclusively adopt SGRT – Vision RT technology. The technology monitors patient movement with high precision and stops radiation at the first sign of unintended movement, protecting healthy organs and providing unprecedented safety and comfort during treatment. Asst. Lect. Mohammed Abdul KareemAl-Mustaqbal University First among Iraqi universities