Those who face death on a regular basis, as part of their professional role, may struggle to manage themselves in role. This chapter examines some of the stresses associated with end-of-life care, and how staff defend against the anxieties associated with death. In particular, the part played by ‘chronic niceness’ in defending against the shadow side of the work – the painful reality that not every death is a ‘good’ death, is explored. Reference is also made to the need for staff support: when they can bear not being perfect carers, they become better able to be good enough for patients and family.