Palliative care tests the general practitioner's generalist skills. The work is not easy. We are trying to control symptoms that progress, feeling at times like the driver of a car with no brakes. It can evoke emotions of disturbing intensity. However, it is intensely rewarding work as well. The privilege of sharing life's journey with a patient, helping to enhance his or her quality of life, is one open to very few in our society. It is a privilege we should eagerly accept, as we are invited to stand with our patients facing their final challenge.