Since 1983, a standard eight-session group smoking cessation course (Fresh Start) has been disseminated throughout Victoria by the Anti-Cancer Council of Victoria with participation of various health agencies, including hospitals. During the five years since the Fresh Start program began, 94 groups were conducted under the auspices of hospitals and there were attended by 894 smokers (43% men, 57% women). Their mean age was 40.6 years. They had smoked for an average of 20 years. Their average precourse daily consumption of cigarettes was 27.7. One year after the course, 24% of the total initial enrollment reported themselves to be not currently smoking. The more course sessions participants attended, the more likely they were to succeed in quitting.