The British Medical Association has called for a ban on tobacco vending machines and wants all premises wishing to sell tobacco to have to apply for a licence.
The hard hitting proposals, which also include banning the sale of 10-packs, are included in the BMA's report Breaking the Cycle of children's exposure to tobacco smoke.
The association wants to see a "positive licensing scheme" put in place for tobacco sales along the same lines as alcohol licensing. It also wants a ban on displaying tobacco at the point of sale.
"By banning ten pack cigarettes and tobacco vending machines and making tobacco products more expensive, fewer children will be able to buy them," said Dr Vivienne Nathanson.
"Cigarettes must be made more inaccessible to children."
However, anti-smoke ban lobbying group Freedom2Choose slammed the idea as "ludicrous".
Spokesman Robert Feal-Martinez said: "It defies belief.
"Vending machines in pubs are already supervised by someone who is deemed to be fit and proper to sell alcohol so why do we need a separate licence to sell tobacco?"