A coalition of health care providers and survivors in the Saint Louis Region has come together to advocate Smart Screening for African American men and men with strong family histories of prostate cancer. The Prostate Cancer Coalition supports the American Cancer Society's position, that there should be a discussion about the risks and benefits of screening, beginning at the age of 45 for African American men and younger if a strong family history. The discussion should also emphasize the significant advancements in the detection and staging of prostate cancer and that PSA is just one of many tests available to help make an educated decision.