This work evaluated the experiences of 45 patients of children with cancer and 101 cancer patients with their home pastors and hospital chaplains. The sttisfactions and difficulties enountered in these interactions are detailed, and recommendations are offered to aid persons in acute distress. Individuals in these circumstances appear to desire spiritual support more than evident psychologial aid, though the skillful use of the latter to understant the religious desires of the patients and parents is appreciated. It is also evident that pastors dealing which problems related to potential terminality are themselves under considerble stress.