This is the first report on the NBBCSS program produced by NBCN, the division of the New Brunswick Department of Health responsible for the development and implementation of evidence-based provincial strategies for all elements of cancer care. [...] This report also furthers our understanding of the impact of population-based cancer control and surveillance activities, particularly in the area of breast cancer where the NBBCSS program has been well established in the province since 1995. [...] Thanks to the efforts of CGI (contracted to manage the NB Breast Cancer Screening Services database), the staff who operate the screening sites in each health region, and NBCN’s epidemiological team, we were able to collect, analyze and report on breast cancer screening activities and program performance. [...] The operation of the New Brunswick Breast Cancer Screening Services (NBBCSS) program is a shared responsibility between the Regional Health Authorities (RHAs: Vitalité Health Network and Horizon Health Network) and the New Brunswick Cancer Network (NBCN). [...] NBCN will use the information from the existing NBBCSS database to enhance the effectiveness and efficiency of breast cancer screening services, as well as the possible Department of Health.