Hierarchical SnO 2 fi bers assembled from wrinkled thin tubes are synthesized by controlling the microphase separation between tin precursors and polymers, by varying fl ow rates during electrospinning and a subsequent heat treatment. The inner and outer SnO 2 tubes have a number of elongated open pores ranging from 10 nm to 500 nm in length along the fi ber direction, enabling fast transport of gas molecules to the entire thin-walled sensing layers. These features admit exhaled gases such as acetone and toluene, which are markers used for the diagnosis of diabetes and lung cancer. The open tubular structures facilitated the uniform coating of catalytic Pt nanoparticles onto the inner SnO 2 layers. Highly porous SnO 2 fi bers synthesized at a high fl ow rate show fi ve-fold higher acetone responses than densely packed SnO 2 fi bers synthesized at a low fl ow rate. Interestingly, thin-wall assembled SnO 2 fi bers functionalized by Pt particles exhibit a dramatically shortened gas response time compared to that of un-doped SnO 2 fi bers, even at low acetone concentrations. Moreover, Pt-decorated SnO 2 fi bers signifi cantly enhance toluene response. These results demonstrate the novel and practical feasibility of thin-wall assembled metal oxide based breath sensors for the accurate diagnosis of diabetes and potential detection of lung cancer.