Sandrine von Grünigen, Geneva University Hospitals, Geneva, Switzerland takes us through the main principles and outcomes from the use of Cyto-SAT – a self-assessment tool for the safe handling of cytotoxic medicines in low- and middle-income countries. The tool is freely available from: https://pharmed.datapharma.ch/. This interview took place at the International Society of Oncology Pharmacy Practitioners (ISOPP) Symposium 2019, hosted by the British Oncology Pharmacy Association (BOPA), held in London, UK.