Each year approximately 1000 children between the ages of 0 and 16 pass away in the Netherlands. A large number die in neonatal or pediatric intensive care units. In many cases their passing is preceded by a decision to stop treatment or to not proceed with it again. Prior studies show that physicians prefer to tailor the way they involve parents in end-of-life decisions to the parents’ preferences and needs with whom they are dealing. At the same time, they wonder about the most concrete way to do this. Mirjam Anke Broerse investigates how physicians and parents come to end-of-life decisions.