The Union Health Ministry has issued preliminary 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 leading to inevitable death in the near future. Stakeholders have been invited to provide feedback and suggestions on the draft by October 20. The guidelines focus on specific criteria, such as brainstem death declaration, medical prognosis indicating little benefit from aggressive treatments, patient/surrogate informed refusal of life support, and compliance with procedures outlined by the Supreme Court. Dr. R V Asokan, the national President of the IMA, emphasized that such clinical decisions are made in good faith by doctors, with thorough communication to the patient's relatives and adherence to merit-based decisions in each case. Passive euthanasia involves the deliberate withholding or removal of medical treatments and life-sustaining interventions to allow natural death from the underlying condition. This can involve discontinuing treatments like ventilators, feeding tubes, or medications that sustain the patient's life. Unlike active euthanasia, which entails direct actions to cause death, passive euthanasia permits death to occur by refraining from intervening in the natural progression of the condition.End-of-life decisions regarding euthanasia, whether passive or assisted, are influenced by various factors such as a patient's medical condition and desires or by the guidance of family members and healthcare proxies. While these practices raise ethical concerns, they are sanctioned in certain countries under specific regulations. Additionally, the impact of stress on skin and hair is also a significant consideration. Euthanasia is legally permitted in several countries worldwide, each with its own set of criteria that must be met before such actions can be carried out.