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Agrowing number of countries have decriminalized medical assistance in dying (MAiD) as a means for patients to avoid prolonged suffering. [1][2][3][4] Although each jurisdiction's legislative criteria allowing the intentional use of lethal drugs by a clinician vary, in practice, the act of hastening a patient's death can be done in 1 of 2 ways: health care providers can administer a lethal medication directly, or they can prescribe a lethal medication to a patient for self-administration; these 2 methods can also be combined. 5 In Belgium, the Netherlands and Luxembourg, both clinician-administered and self-administered methods are allowed; Colombia allows only clinician-administered methods; and Switzerland, the Australian state of Victoria and several US states permit self-administration only. [5][6][7][8] In Canada, Bill C-14 defined a process and criteria under which MAiD would be permitted, but it did not specify which methods of hastening death could be used. 8 As a result, MAiD in Canada includes both administration of lethal medications by physicians and nurse practitioners, and prescription of lethal medications for self-administration (except in Quebec).Although nearly 7000 Canadians have died with medical assistance, 9 there is little information on the technical aspects of providing MAiD. The current literature predominantly explores the ethical issues, eligibility, and the impact on patients, families and health care providers. 2,10,11 However, it is clear that, across Canada, self-administered MAiD is rare, with fewer than 7 cases reported, 10 a finding consisted with other jurisdictions where both clinician-and self-administered MAiD are legal. 1 Although the Canadian Association of MAiD Assessors and Providers has released a guidance document for intravenous administration of drugs, 12 limited data exist on the specific medications, dosages, timing of administration and complications during clinician-administered MAiD.