Spirituality is the aspect of humanity that refers to the way individuals seek and express meaning and purpose and the way they experience their connectedness to the moment, to self, to others, to nature, and to the significant or sacred. This Consensus Conference, which was held in February 2009 in Pasadena, California, was based on the belief that spiritual care is a fundamental component of quality palliative care. The recommendations from this Conference build upon prior literature, the National Consensus Project Guidelines, and the National Quality Forum Preferred Practices and Conference proceedings. ■