Background: Optimal oral cavity cancer care depends on timely referral, multidisciplinary review, and early-stage presentation. We hypothesized that there exists multiple systematic challenges and different levels in oral cavity cancer management, independent of speciality, across specialities - general surgery(GS), ENT, OMFS, Head and Neck(HNS) and Surgical Oncology(SO) Methods: An online survey n = 75 (multi-specialty, online survey); analyzed using descriptive statistics, Fisher’s exact, Chi-square, and Kruskal–Wallis tests (p < 0.05). Results: 75 surgeons responded across multiple specialties. 41% (31/75) never referred complex oral cancer cases; referral patterns differed significantly by specialty (χ²=11.50, p=0.022). SO/HNS were least likely to refer outward (63.3% vs 17.6% General Surgery; OR=8.06, p=0.005), consistent with their role as referral centers. Independent operative practice was the strongest predictor of non-referral (OR 8.10, p=0.0003). Non-referral reasons were near-equally distributed: managing locally (30.7%), patient preference (29.3%), and financial constraints (28.0%). Regular MDT access was markedly lower outside SO/HNS (χ²=9.27, p=0.010; vs OMFS OR=5.33, p=0.034; vs General Surgery OR=6.00, p=0.017). 88% reported ≥25% Stage III/IV presentations; late presentation was the most cited barrier to optimal care (36%). The composite system failure score differed significantly by specialty (Kruskal-Wallis H=6.38, p=0.041). Conclusion: Breakdowns in referral, MDT access, and stage at presentation appear to cluster rather than occur in isolation. Addressing outcomes will likely require coordinated changes across referral pathways, infrastructure, and early detection.