The last decade has seen significant technological advances in the fields of medical imaging and radiotherapy leading to improved accuracy, conformality and quality control of dose delivered. This has provided the opportunity to safely lower dose to surrounding normal tissue with a subsequent reduction in the incidence and severity of acute and late toxicities in our patients. It also offers opportunities for improved tumour control through dose escalation and more precise tumour targeting. This overview will explain how our radiotherapy department has integrated these new technologies to improve the accuracy of target delineation, assess and control for physiological motion, improve dose conformality around the target and ensure accuracy of treatment delivery on the machine.