The incidence of disasters is increasing. Their devastating impact is visible in the 2011 earthquake and tsunami in Japan, 2011 flooding in Australia, 2010 earthquake in Haiti, and elsewhere. Disasters generate massive healthcare needs, and health workers are prominent amongst those responding to disasters. Many disasters occur in lower income countries, with responders from wealthier countries, leading to cultural and ethical conflicts. Health workers often return from disasters experiencing moral distress linked to ethical decisions made in those settings. This presentation will discuss some of the ethical issues that arise for healthcare professionals in disaster settings. Case studies will be presented to demonstrate some of the challenges. These include triage decisions that must be made about who to treat or not treat, attempts to distribute limited resources in fair ways, and coping with how disaster responders are provided additional protections or resources compared to local populations. Some preliminary work has identified concerns about the lack of ethics training for those preparing to respond to disasters. At the same time, concerns have been raised that some ethics training may be counter-productive. Much of this is focused on resolving ethical dilemmas assuming ideal conditions. However, disasters in particular put people in situations where all the answers are less than ideal. Some discussion is developing about the role of what is being called “non-ideal morality.” In such circumstances, the least bad option may be the best one possible. Such decisions can leave people with feelings of guilt and lead to moral distress. Therefore, approaches are needed in bioethics training that address issues like guilt, grief, and anger, in addition to traditional moral reasoning. Such needs open an opportunity for Christian engagement that includes discussions of grace and forgiveness rather than legalistic approaches.