The Union Health Ministry has published draft guidelines regarding passive euthanasia. Named 'Draft Guidelines for Withdrawal of Life Support in Terminally Ill Patients,' these guidelines were released by the Union Health Ministry, seeking feedback and suggestions from stakeholders by October 20. The draft specifies terminal illness as an irreversible or incurable condition leading to inevitable death in the near future. The guidelines are structured around four criteria: confirmation of brainstem death, medical prognosis indicating the advanced and non-responsive nature of the disease, documented refusal by the patient or their surrogate, and adherence to the procedure established by the Supreme Court. In reaction to these guidelines, Dr. R V Asokan, the national President of IMA, stated that such clinical decisions have traditionally been made in good faith by doctors. Dr. Asokan emphasized that decisions on life support continuation involve thorough communication with the patient's relatives and are made on a case-by-case basis, without undue prolonging. He expressed concerns about the necessity of guidelines and certain decisions being labeled as inappropriate. Passive euthanasia involves the deliberate act of withholding or ceasing medical treatments or life-sustaining measures, enabling the person to pass away naturally due to their underlying condition. This may involve discontinuing interventions such as ventilators, tubes, or medications that sustain the patient's life. Unlike active euthanasia, where direct steps are taken to cause death, passive euthanasia permits natural death by refraining from interfering with the normal course of events.The consideration of passive euthanasia arises in situations where a patient is faced with a terminal illness, has little to no chance of recovery, or is in a persistent vegetative state. Decisions regarding passive euthanasia are typically based on the patient's preferences, advance directives, or input from family members and healthcare proxies when the patient is unable to make decisions on their own. Although this practice raises ethical concerns, it is permitted in many countries under specific guidelines and circumstances. Stress and its effects on skin and hair should not be underestimated. Euthanasia is legally allowed in various countries including the Netherlands, Belgium, Luxembourg, Spain, Switzerland which allows assisted suicide, Canada which permits both forms of euthanasia, and certain states in the U.S. like Oregon, Washington, and California where assisted suicide is legal under stringent regulations. Colombia has also legalized euthanasia, each with individual criteria that must be met for the procedure to be conducted lawfully.