A call has been made for a widespread review of cancer care in Dumfries and Galloway to try to reduce lengthy trips for treatment.
The BBC has been approached by people angered and upset at the distances they or their relatives have had to travel.
Patients in Stranraer can face a 135-mile road trip, one way, to Edinburgh for radiotherapy and scans.
NHS Dumfries and Galloway said staffing and equipment issues made offering some services locally “unlikely”.
The arrangement for patients to be treated in Edinburgh is a longstanding one between the health board and NHS Lothian.
However, one former GP, Dr Gordon Baird, set up a petition last year on behalf of the Galloway Community Hospital Action Group.
It called for the creation of an agency dedicated to rural health matters headed by a rural health commissioner.