Serving numerous users and requests concurrently requires good fairness in Large Language Models (LLMs) serving system. This ensures that, at the same cost, the system can meet the Service Level Objectives (SLOs) of more users , such as time to first token (TTFT) and time between tokens (TBT), rather than allowing a few users to experience performance far exceeding the SLOs. To achieve better fairness, the preemption-based scheduling policy dynamically adjusts the priority of each request to maintain balance during runtime. However, existing systems tend to overly prioritize throughput, overlooking the overhead caused by preemption-induced context switching, which is crucial for maintaining fairness through priority adjustments. In this work, we identify three main challenges that result in this overhead. 1) Inadequate I/O utilization. 2) GPU idleness. 3) Unnecessary I/O transmission during multi-turn conversations. Our key insight is that the block-based KV cache memory policy in existing systems, while achieving near-zero memory waste, leads to discontinuity and insufficient granularity in the KV cache memory. To respond, we introduce FastSwitch, a fairness-aware serving system that not only aligns with existing KV cache memory allocation policy but also mitigates context switching overhead. Our evaluation shows that FastSwitch outperforms the state-of-the-art LLM serving system vLLM with speedups of 1.4-11.2x across different tail TTFT and TBT.