This article was originally published in the Summer 2020 Issue of Critical Connections. This case study and analysis is about an 84-year-old woman with metastatic non-small cell lung cancer whose daughters are her surrogate decision makers. The daughters insist on aggressive treatment and have declined to speak with palliative medicine regarding transition of goals of care.   Critical Connections, the critical care industry's only newsmagazine, provides information on cutting-edge topics in critical care useful to the entire multiprofessional team.  Mary Faith Marshall, PhD, HEC-C, FCCM Elizabeth G. Epstein, PhD, RN, HEC-C, FAAN Dawn W. Bourne, DNP, FNP-C, HEC-C Sandra D. Mahanes, CCNS, CCRN, DNP