On 25 June, 2021, Spain’s Organic Law 3/2021 on the Regulation of Euthanasia (LORE) came into force, making Spain the fourth European country to decriminalise both euthanasia and assisted suicide. On the four-year anniversary of its coming into effect, we take this opportunity to reflect on its implementation and assess the progress made.

The LORE in numbers and the realities its implementation across the territory

• Albert Tuca. Medical oncologist. Hospital Clínic of Barcelona. UB-Clínic Chair of Palliative Care. President of the Euthanasia Guarantees Commission of Catalonia

Professional challenges in managing euthanasia requests

• Albert Planes. Family Physician, ICS. Member of the Ethics Group of the Catalan Society of Family Medicine. Member of the Guarantees Commission of Catalonia.

Legal gaps in the law and challenges in its interpretation

• Nuria Terribas. Jurist, Director of Fundació Víctor Grífols i Lucas