Oncology developed as a discipline over the last decades. Treatment is concentrated on cure or palliation of the illness with the help of chemotherapy, radiotherapy or surgery. Palliative care has its origin in the hospice movement that started around 1960 in the UK. Centre of care is the patient and his family. Focus of care has moved from quantity to quality of life. Symptom control, communication, rehabilitation and care for the dying are main areas of palliative care. Palliative care and palliative medicine have only developed over the last 10 years in Germany. It is still seen as care for the dying after completion of oncological treatment. The integration of palliative care in earlier stages of the disease is essential to offer a continuity of care for the patient and his family. Principles of palliative care need also be part of medical and post-graduate training.