Lung cancer is often diagnosed at a late stage when treatment options are limited, and has a very low 20% 5-year survival rate. Screening and early detection is anticipated to lead to earlier diagnosis, ultimately providing greater treatment options for patients and a higher likelihood of survival. The Cancer Australia report on lung cancer screening suggests a national program can save over 12,000 lives in the first 10 years, while reducing the financial burden to the health system in the long term. Furthermore a national screening program will bring lung cancer prevention in line with other leading cancers; bowel, cervical, and breast cancers all have a significantly higher 5-year survival rate at 70%, 74%, and 92% respectively. Inequities and health disparities already exist for Aboriginal and Torres Strait Islander people affected by lung cancer, any screening program must address these key issues and avoid amplifying disparities. Co-design with Indigenous peoples and communities, ensuring Indigenous peoples have a say, is critical to implementing high-quality screening. This presentation describes local research efforts to co-designing lung cancer screening for Australia.