Earlier detection of cancerous lesions due to improved imaging technology and patient screening is fueling a trend in radiation medicine to irradiate increasingly smaller targets. Proton radiosurgery has advantages compared to other external-beam radiation modalities when treating small lesions, including the delivery of high doses to target volumes with three to four treatment beams. However, for small-diameter beams (<1.0 cm), beam broadening due multiple Coulomb scattering (MCS) leads to degradation of the Bragg peak that manifests itself as lower peak-to-entrance dose (P/E) ratios and reduced rates of dose delivery to the radiation target. The effects of beam degradation are typically ameliorated by employing additional treatment beams, but this leads to increased integral dose and even longer treatment times that work against the advantages of proton radiosurgery. Magnetic focusing immediately upstream from the patient could help compensate for the effects of MCS, potentially leading to radiosurgical treatments with lower entrance doses, fewer beams, reduced integral doses, improved therapeutic ratios, and decreased treatment times (McAuley et al 2013(McAuley et al , 2015a(McAuley et al , 2018.