Inequity amongst First Nation patients within health care is well documented. Poorer outcomes for indigenous patients with cancer is widely investigated and proven (1-3). We will explore and compare oropharyngeal cancers over ten years within Queensland. Our aim is to compare cancer staging in First Nation and Non-First Nation oropharyngeal tumours, firstly by reviewing cancer staging at diagnosis, and secondly by reviewing 2-year survival. Our database was obtained from the Queensland cancer registry for head and neck cancer patients in Queensland. Oropharyngeal cancer sites were defined using the American Head and neck cancer staging system. Patients aged 18 years and above, with oropharyngeal cancer were selected for the study. The dates of diagnosis for exploration were 2012 to 2021. The registry already identified patients as first nation, non-first nation and not identified. In total there were 100 patients within the first nation population and 3000 within the non-first nation population. We aim to present our analysis comparing oropharyngeal cancer for first nation and non-first nation patients in Queensland over 10 years. We specially aim to review disease at diagnosis and survival at years. 1. Australian Institute of H, Welfare. Cancer survival and prevalence in Australia: Period estimates from 1982 to 2010: Cancer survival in Australia 1982-2010. Asia-Pacific journal of clinical oncology. 2013;9(1):29-39. 2.Cramb SM, Garvey G, Valery PC, Williamson JD, Baade PD. The first year counts: cancer survival among Indigenous and non-Indigenous Queenslanders, 1997-2006. Med J Aust. 2012;196(4):270-4. 3.Moore SP, Green AC, Garvey G, Coory MD, Valery PC. A study of head and neck cancer treatment and survival among indigenous and non-indigenous people in Queensland, Australia, 1998 to 2004. BMC Cancer. 2011;11(1):460.