Laser based fibre-optic surgery procedures are commonly used in minimal invasive surgery. Despite the development of precise and efficient laser systems there are also innovative attempts in the field of bio-medical diagnostics. As a direct result of the tissue's optical properties most applications are focused on the visible wavelength range of the spectrum. The extension of the spectrum up to the mid-infrared (IR) region will offer a broad range of possibilities for novel strategies with a view to non-invasive diagnostics in medicine. We describe a method to detect differences between diseased and normal tissues, which involve Fourier transform IR microspectroscopy and fibre-optics methods. Regions of interest on 10 µm thin tissue sections were mapped using an IR microscope in transmission mode. After IR-mapping, the samples were analysed using standard pathological techniques. Quadratic discriminant and correlation analyses were applied to the IR maps obtained allowing differentiation between cancerous and normal tissue. The use of optical fibres, transparent in the mid-IR, allowed measurements to be made in the attenuated total reflectance (ATR)-mode at a remote location. The IR sensor is in contact with the sample that shows characteristic absorption lines. The total transmission of the fibre and the sample will decrease at these lines. This method can be used to determine the absorption of a sample in a non-destructive manner. In this paper we report on our efforts to develop an IR fibre-optic sensor for tissue identification as well as to differentiate between malignant and healthy tissue in vivo. We also describe the technical design of the laboratory set-up and the results of developments made. Silver halide fibres and a special sensor tip were used for the ATR measurements on tissue specimens. The results indicate that fibre-optic IR spectrometry will be a useful tool for bio-diagnostics.