Family physicians in Poland increasingly encounter patients who speak neither Polish nor English. This study aims to identify the main challenges, coping strategies, and support needs among primary care physicians when communicating with these patients.To identify the types of language bariers Polish primary care physicians face.A cross-sectional survey is being distributed to family physicians working in primary care across Poland. Data collection began in September 2025 and is ongoing. The questionnaire assesses encounter frequency, perceived communication problems, languages involved, current coping strategies, available resources, and desired support. Preliminary results are presented here.Preliminary data include 19 respondents, predominantly female (79%), family medicine specialists (74%), and practicing in cities >100,000 population (63%), with a mean age of 48.6 years. 32% reported frequent (weekly or daily) encounters with non-Polish/English speaking patients. For questions on languages encountered, challenges, coping strategies, and support needs, respondents could select multiple options. Ukrainian was identified as the most common language barrier (100%), followed by Russian (47%) and Vietnamese (37%). The most frequently reported problems were difficulty obtaining a thorough history (53%), uncertainty about patient understanding (53%), and difficulty explaining medical advice (47%). 26% of surveyors reported concerns about increased medical error risk. Coping strategies relied predominantly on improvised solutions: family members as interpreters (89%) and smartphone translation applications (84%), with many respondents using both approaches. 68% reported having no dedicated translation resources in their practice. 63% considered current institutional support inadequate, and 21% had experienced situations where lack of professional interpretation potentially endangered patient safety. Priority needs included improved technology support for translation applications (63%) and funded access to professional interpreters (58%).Preliminary findings indicate that language barriers may represent a common everyday challenge in Polish primary care. Early data suggest physicians rely on improvised solutions while lacking dedicated resources.Final results will determine the scope of these challenges and whether systemic support — including interpreter services, translation technology, and collaborative networks are needed to ensure effective practice and equitable access to care.