Since the beginning of radiation therapy, almost all treatments have been delivered with the patient lying on a table while the beam rotates around them. But a resurgence in upright patient positioning is changing that paradigm. Novel radiation accelerators such as proton therapy, VHEE, and FLASH therapy are often too large to rotate around the patient, making access limited. By instead rotating the patient, these previously hard-to-access beams could now become mainstream in the future. Join leading clinicians and experts as they discuss how this shift in patient positioning is enabling exploration of new treatment geometries and supporting the development of advanced future cancer therapies.β¦