 This study explored the unmet psychosocial needs, maladaptive coping strategies and psychological distress among people with cancer in Pakistan. All psychosocial needs were found to be unmet among the participants. Additionally, anxiety and hopelessness were identified as common maladaptive coping strategies. Furthermore, a strong correlation was observed between unmet psychosocial needs, maladaptive coping and psychological distress. These findings highlight the importance of providing adequate psychosocial support systems to ensure better outcomes for individuals with cancer. This article was authored by Nita Shahid, Tamkeen Ashraf Malik, Aqmal Hussein and others.