One hundred Saudi cancer patients and companions, seen by the oncologists at King Faisal Specialist Hospital for the first time for therapy, were assessed as to how well they coped with the illness. Results of a questionnaire pointed to the fact that only 16% of the patients and 69% of the companions were informed, by the physician in charge, about the nature of the illness prior to referral to the oncologist. The patients who knew they had cancer did not react to it more intensely than patients unaware of the diagnosis. Anger and guilt also seemed to be less frequently expressed. Some of the characteristics of Islam (especially the belief in God's will) and strong interpersonal bonds found in the Kingdom seem to protect patients, making them better able to cope. However, the question in the Eastern as opposed to the Western world is "whether" rather than "how" to inform the patient.AY Bedikian, V Saleh and S Ibrahim, Saudi Patient and Companion Attitudes Toward Cancer. 1985; 5(1): 17-24