iarjcmbIARJCMBIARJCMB2789-600510.47310/iarjcmb.2025.v05i01.002Sun, Skin, and Shimla: Gauging Public Awareness of Skin Cancer RisksBackground: Skin cancer, although highly preventable and treatable when detected early, remains an under recognized public health threat in many parts of India. High-altitude regions like Shimla are particularly susceptible to elevated ultraviolet (UV) radiation, which significantly increases skin cancer risk. Despite these environmental factors, public awareness of skin cancer in such regions remains poorly documented. This study aimed to assess the level of knowledge, awareness, and perceptions related to skin cancer and its risk factors among the adult population of Shimla. Materials and Methods: A descriptive, cross-sectional survey was conducted among 400 adult residents of Shimla between January and March 2025. Participants were selected using convenience sampling techniques. Data were collected through a structured, bilingual questionnaire encompassing socio-demographic information, knowledge of skin cancer symptoms, causes, prevention, and attitudes towards sun protection. Knowledge scores were categorized into four levels: Very Good (≥80%), Good (60–79%), Fair (41–59%), and Poor (<40%). Descriptive statistics and cross-tabulations were used to analyze the data. Results: The participant pool reflected a balanced distribution across gender (50% male, 50% female), educational backgrounds, and occupations, with 60% of respondents residing in rural areas. While 72% correctly identified skin cancer as uncontrolled skin cell growth and 70% linked UV exposure to increased risk, only 52% were aware of the possibility of recurrence after treatment. Overall, 28% demonstrated very good knowledge, 36% had good knowledge, 26% showed fair knowledge, and 10% fell into the poor knowledge category. Awareness gaps were especially evident in recognizing early asymptomatic signs, the role of dermatologist visits, and long-term disease management. Conclusion: Although baseline awareness of skin cancer in Shimla is promising, significant knowledge deficits persist-particularly among rural and less-educated populations. These findings call for region-specific, culturally tailored awareness programs focusing on prevention, early detection, and follow-up care. Integrating skin cancer education into broader public health initiatives and leveraging local community health networks can play a crucial role in fostering sun-safe behaviors and reducing future disease burden in high-risk, high-altitude environments.