This chapter analyzes the legal relationships between religion, family, and end-of-life care in two contexts: surrogate decisionmaking and hospice care. The chapter first discusses how the law incorporates spirituality and morality into surrogate decisionmaking on end-of-life treatment; it also considers how Medicare incorporates spirituality into the hospice experience through, for example, the involvement of chaplains.  Then, based on in-depth interviews with those who had experienced the death of their parents, the chapter shows how surrogates actually handle end-of-life decision-making. As the interviewees explained, religion helped guide them in deciding what the patient would have wanted, and it also provided the decisionmakers comfort as they moved forward from end-of-life care to death.  Because of the role that religion can play in end-of-life decisionmaking, the uncertainties surrounding the application of Hobby Lobby can compound the traumatic experiences of those involved, regardless of their religious (or nonreligious) beliefs and practices. Solutions involve additional legal support for end-of-life conversations and greater use of end-of-life planning documents.