Assisted dying is a low-frequency, high-risk medical procedure, and, as such, the medical profession should stop waiting for government to decide how to manage it.Palliative care teams can be fully participatory and serve as primary contacts in an institutional approach for physician-assisted death.Best practices are needed for collecting data about physician aid-in-dying to allow researchers to study the impact of the law on various populations. Challenges exist to capturing information about how end-of-life practices are affecting patients from diverse backgrounds.Institutional responses to the newly legalized physician aid-in-dying option in California have been challenging to design and implement, and these responses require significant resources, including clearly identified patient navigators.states where the practice of physician-assisted death is legal. Based on currently available data, safeguards may be largely too restrictive in U.S.Health professionals should never suggest physician aid-in-dying as an alternative to care.The primary value of Oregon’s law is the high level of open communication it creates among physicians, patients, and families surrounding the end of life.