Aims of this study were to examine time delays in lung cancer referral pathways in North Queensland (NQ), Australia, and explore patients’ perspective of factors causing these delays. Prospective study of patients attending three cancer centres in Townsville, Cairns and Mackay in NQ from 2009 to 2012. Times along referral pathway were divided as follows: Onset of symptoms to treatment (T1), symptoms to general practitioner(GP) (T2), GP to specialist (T3), and Specialist to treatment (T4).