Dr Brendan O’ Shea, MD FRCGP is a GP in Co Kildare, Ireland, and Assistant Adjunct Professor at Trinity College Dublin. Academic interests include improving care for people with multimorbidity, end of life planning, and overweight. Over 3 decades in practice, he has been involved in training and education of Doctors, including Undergraduates, and Postgraduate Training in General Practice. He describes himself as a practicing Buddhist (‘haven’t got the hang of it yet !’), and a pragmatic optimist. He strongly supports availability of Medical Assistance in Dying as a choice for people at end of life, and explores this in his talk, regarding it as an integral part of a good death, for a proportion of people dying.