The 22 countries of WHO´s Eastern Mediterranean Region are experiencing an increase in the burden of non-communicable deseases (NCDs), including cancer. Of the six WHO regions, the Eastern Mediterranean Region is projected to have the greatest increase in cancer incidence in the next 15 years. With increasing numbers of deaths from cancer, palliative care should be available to relieve suffering in patients with advance desease and at the end of life. However, in the Eastern Mediterranean Reion, the palliative care available is variable and inconsistent.