Advance Care Planning (ACP) is increasingly recognised as part of holistic patient-centred care. The goal of ACP is to help the patient explore and express his preferences regarding options and goal of care before the event of a catastrophic illness. Family physicians are well sited to conduct ACP in the community with their patients. It should be offered, with discernment and empathy, to individuals, ranging from the well healthy patient to those with organ complications from chronic diseases, who are ready to participate in such dialogue. It should always be paced at the patient’s pace.