**Abstract**

If cancer becomes a terminal illness, cancer patients may want to consider their options for managing the end of life. Palliative care and hospice give patients control over pain and symptoms at the end of life, but patients may want to know how to pursue more direct actions to end a life that feels too burdensome. This chapter provides a nonjudgmental look at legal ways to end one's own life in 2022. Where is assisted suicide legal in the world, including a detailed look at laws in those United States of America (USA) states that protect it? Where can a doctor provide and administer lethal drugs, providing euthanasia? What restrictions to access exist? What help and guidance are available? What options realistically exist beyond prescribed drugs, without turning to firearms and leaping from buildings? This chapter is not a how-to-end-it guide, but a brief survey of the options a patient might feel impelled to explore.

**Keywords:** physician-assisted suicide, euthanasia, hospice, palliative care, end-of-life
