How can we help people achieve their own goals with limited life expectancies? This is the ���art of the possible��� in palliative care. Patients with a range of diagnoses are incredibly consistent in their expectations: ���please manage my physical symptoms (not as an end in itself and without affecting the clarity of my thinking or communication) so that I can do the other things that are important in my life��� ��� meaningful time with family and friends, and physical independence for as long as possible. Each aspect of personhood (physical, emotional, social, sexual and existential) is important at differing levels for every person as he/ she faces a life-limiting illness. Palliative care is the ultimate personalised medicine when we seriously seek to address atients��� riorities.