Co-ablation Cancer Centre: Precision of Ice, the Warmth of Compassion

By: Qudrat Ullah 

At Lahore’s historic Mayo Hospital, a quiet revolution has begun. In a sterile chamber, a tumor is frozen to -198°C before being subjected to searing heat at 83°C. What sounds like a futuristic experiment is, in fact, the reality of co-ablation therapy—a cutting-edge cancer treatment that combines cryoablation and thermal ablation. For the first time in Pakistan’s public healthcare system, this medical technology is now available free of cost to patients who could never have dreamed of affording it otherwise.

The establishment of the country’s first public-sector Co-ablation Cancer Centre, inaugurated by Chief Minister Maryam Nawaz Sharif, represents more than the acquisition of advanced machinery. It marks a profound shift in healthcare philosophy: that science must not only heal but also restore dignity; that innovation must not be a luxury but a right accessible to all. Pakistan is the first country in South Asia to introduce co-ablation technology in a government hospital. The significance of this step cannot be overstated. Co-ablation is minimally invasive, highly precise, and remarkably patient-friendly. Traditional surgeries often involve weeks of painful recovery, high costs, and the risk of damaging healthy tissue. In contrast, co-ablation takes just over an hour, with patients often resuming normal activity within a day. For patients like Rana Muhammad Asghar, suffering from liver cancer, or Muhammad Akram, battling a lung tumor, this new therapy is more than medical science—it is hope restored. Their stories transform this technological advancement into a human triumph.

Behind the medical marvel lies an equally compelling political story. Chief Minister Maryam Nawaz Sharif’s decision is rooted not only in governance but also in deeply personal experience. Having witnessed her mother Kulsoom Nawaz battle cancer, she has translated private pain into public resolve. At the inauguration, she posed a simple but piercing question: “If we cannot spend money on the treatment of helpless cancer patients, then what else should we spend it on?” In a country where the cost of a single cancer treatment cycle can bankrupt entire families, the Punjab government’s commitment to provide co-ablation therapy free of charge is revolutionary. It redefines healthcare not as a privilege for the wealthy but as a right for every citizen.

While Mayo Hospital’s co-ablation unit is a historic first, it cannot, by itself, shoulder the burden of Pakistan’s cancer crisis. Recognizing this, the Punjab government has pledged to establish five more such centres across the province, including in the new Nawaz Sharif Cancer Hospitals. But hardware alone will not win this war; the real battle lies in building human capacity. The directive to train a pool of master trainers—doctors, bioengineers, and technicians—is perhaps the most important part of this initiative. By cultivating local expertise, Punjab is laying the groundwork for self-reliance, ensuring this is not a one-off spectacle but the seed of a sustainable healthcare revolution.

The co-ablation centre is the spearhead of a much broader healthcare transformation unfolding under the Punjab government. Several initiatives demonstrate that the Punjab government is not simply reacting to crises but reimagining the healthcare landscape. By expanding telemedicine, rural populations are linked to urban specialists, making medical advice accessible even in remote villages. Patients who once had to travel for hours for a basic consultation can now receive expert guidance from their homes. Rural health units have been upgraded with better staff monitoring, diagnostic facilities, and emergency services, aiming to close the yawning gap between urban and rural healthcare delivery. Under the provincial health insurance scheme, millions of families are now entitled to cashless medical treatment at both public and private hospitals, easing financial burdens and normalizing the concept of universal health coverage. New purpose-built mother and childcare hospitals are being developed to address maternal and infant health. Alongside this, the government is digitizing patient data to ensure better monitoring, reduce duplication, and increase transparency, providing a digital backbone that strengthens every reform initiative.

The symbolism of Mayo Hospital’s co-ablation centre should not be underestimated. For decades, public hospitals have been synonymous with long queues, inadequate facilities, and underpaid staff. The launch of a world-class cancer treatment in such a setting is a powerful statement that the entrenched narrative of despair can be overturned. Moreover, this initiative strikes at the heart of inequality. It bridges the chasm between the healthcare available to elites in private hospitals and the limited options for the poor. When a rickshaw driver’s wife and a corporate executive’s child can access the same advanced treatment, society takes a definitive step towards equity.

Yet, there are challenges that must be confronted with honesty. Sustaining such high-tech services requires consistent funding, maintenance of equipment, and uninterrupted supply chains for consumables like liquid nitrogen. Retaining trained professionals, who are often lured by lucrative offers abroad, is another hurdle. The provincial government’s commitment to performance audits and transparent monitoring will be key to preventing this initiative from sliding into neglect. Similarly, the fight against cancer cannot be waged through treatment alone. Public awareness about prevention—healthy diets, early screenings, and lifestyle changes—must form an equally important pillar of strategy. Without this, the burden of disease will continue to outpace even the most advanced technologies.

The co-ablation centre at Mayo Hospital is, at its core, a story of hope. It shows what is possible when technology is fused with empathy, and when political resolve aligns with human need. It challenges Pakistanis to imagine a healthcare system where innovation is not the preserve of the privileged but the inheritance of all. For patients facing the terrifying word “cancer,” it offers a gentler path to recovery. For families, it provides financial relief in moments of despair. For the country, it signals that progress is not an abstract promise but a lived reality. The road ahead will be long, and the struggle against cancer relentless. But with this bold fusion of precision medicine and compassionate governance, Punjab has taken a decisive step forward. The lesson is clear: when compassion becomes policy, miracles cease to be rare—they become routine. (The writer is a Lahore-based public policy analyst who can be reached at qudratu@gmail.com)