The Union Health Ministry has recently issued draft guidelines concerning passive euthanasia. Titled 'Draft Guidelines for Withdrawal of Life Support in Terminally Ill Patients,' these guidelines define terminal illness as an irreversible or incurable condition from which death is inevitable in the near future. Stakeholders are invited to provide feedback and suggestions on the draft by October 20. The guidelines are based on four key conditions: confirmation of brainstem death, medical prognosis indicating that aggressive treatment would be futile, documented informed refusal by the patient or surrogate decision-maker to continue life support, and adherence to procedures outlined by the Supreme Court. Dr. R V Asokan, the national President of the Indian Medical Association (IMA), emphasized that decisions regarding end-of-life care have always been made in good faith by healthcare providers, with input from patients' families. Passive euthanasia involves withholding or withdrawing medical interventions, such as ventilators or feeding tubes, to allow a natural death to occur, in contrast to active euthanasia, which involves actively causing death. Dr. Asokan believes that decisions related to end-of-life care should be made based on scientific evidence and individual circumstances, involving input from patients, families, and healthcare professionals.The act of ending life due to illness or unbearable suffering, known as euthanasia, is a complex and debated practice. Passive euthanasia is often considered in situations where a patient is facing a terminal illness, has slim chances of recovery, or is in a persistent vegetative state. Decisions regarding passive euthanasia are typically made based on the patient's own wishes, advance directives, or by family members and healthcare proxies when the patient is unable to decide for themselves. While this practice raises ethical concerns, it is legal in many countries under specific guidelines and conditions. Additionally, different countries like the Netherlands, Belgium, Luxembourg, Spain, Switzerland, Canada, certain U.S. states such as Oregon, Washington, and California, and Colombia have legalized euthanasia or assisted suicide with varying criteria like terminal illness or unbearable suffering that must be met for these procedures to be carried out legally.