In the final part of the Radioligands session from Uromigos Live 2024, the panel discusses the emerging field of PSMA-targeted alpha radioligand therapy, with a focus on HK2, a novel target in prostate cancer treatment. The conversation explores the challenges and opportunities associated with PSMA-directed therapies, including the management of toxicities such as xerostomia and cytopenias, the importance of adaptive dosing strategies, and the potential for long-lasting treatment effects. The session wraps up with a forward-looking view on the future of radioligand therapies in prostate cancer.