The Netherlands was the first country to legalize Physician-Assisted Dying (PAD). From 1985 on, PAD was officially tolerated, followed in 1994 by a makeshift law and in 2002 by a fully-fledged euthanasia law. More than thirty years of experience—with rising numbers and expanding pathologies underlying PAD-requests—make the Netherlands a laboratory from which lessons can be learned for other countries worldwide. In this lecture we will ask some of the most pressing questions: has the possibility of PAD led to a slippery slope? Are the legal ‘due care criteria’ sufficient? Have there been consequences for the level of palliative care? Has it led to risks for vulnerable people? What is the attitude of physicians, patients, and of Christians and churches in particular?