Cancer is ubiquitous in today's society. Patients fighting cancer, as well as their families, endure a large amount of stress while combating the disease. Coping mechanisms are important during cancer management because they aid in stress reduction. Sarcasm, a potential method of coping, is examined in this study in an attempt to gain a clearer understanding of its intricacies and effectiveness in a medical, institutional setting. Employing conversation analytic methods, the sarcastic communication strategies engaged in by both doctors and patients during oncology interviews are assessed from an oral and nonverbal perspective. This is done in an effort to gain a greater understanding about the use of sarcasm in medical settings and the way doctors and patients effectively and ineffectively interact with one another.