Delivering TIL therapies at scale requires close collaboration between community physicians’ specialist centers, surgeons and clinical trial teams rather than changes by any single group alone. As clinical evidence matures and trials expand into earlier lines and broader populations, the challenge is aligning referral timing, clinician education, hospital resources, and trial logistics. This workshop focuses on shared problem solving across clinical and operational roles to support access while maintaining high standards of care and trial integrity.

Key questions addressed in this workshop:

• How can referral pathways be strengthened through earlier collaboration with community oncologists and shared visibility of patient flow?
• What practical approaches help clinicians, surgeons, and trial teams align around beds surgery slots and manufacturing availability?
• How can education reimbursement considerations and trial participation work together to support treatment beyond specialist centers?
• How should clinical trials be designed to reflect real-world workflows while enabling access expansion and operational feasibility?