Every now and then, we face the problem of terminally ill patient or what looks incurable lesion, like disseminated malignancy. Certainly, all of us prefer not to face such a bitter reality. But sadly, this is unavoidable. Problems almost always arise from this type of patients if not from their relatives, hence, the importance of proper handling, fine communication, gentle words and precise estimation of the surgeon's sentences. By doing so, the surgeon can spare himself a lot of problems. Sorry to say, some surgeons fall in this trap because they mishandle these peculiar and difficult patients. It is vital to appreciate the psyche of those miserable patients, sympathize with them as much as possible, make them feel that you are serious and keen to help them, and you are a friend rather than a physician.