This article presents some recommendations for limiting life-support interventions. The physician has a duty to disclose to the capable patient or family, the patient's poor prognosis with honesty and clarity when further aggressive support appears nonbeneficial. When the fully informed capable patient or family desires to consider palliative care, the physician should offer the available modalities of limiting life-prolonging interventions. The physician must discuss the implications of forgoing aggressive interventions through formal conferences with the capable patient or family and work towards a shared decision-making process.