Since 1997, when Oregon enacted a law permitting physician-assisted suicide, the public debate over end-of-life issues has turned in a new direction. A major response to this law has been increased attention to providing support for the dying in ways that lessen the felt need for assisted suicide. The result has been renewed emphasis on hospice, palliative care, and the spiritual needs of the dying, as well as on advanced directives to settle legal matters. These are the four critical issues addressed by leading experts in this outstanding collection of recent articles on this controversial topic. An underlying theme of all the contributions is that end-of-life needs vary for each individual. Awareness of this fact is crucial both for the dying and for their caregivers. The essays in this collection will help readers recognise and prepare for difficult end-of-life decisions.