In the field of physical medicine and rehabilitation,“spinal cord injury” constitutes a significant part of the patients. Thesepatients cannot engage in motor activities such as eating, self-care,toilet, walking, or are mostly depend on family member. The expec tations of patients admitted to the long-term rehabilitation programin the clinic and the target of health professionals often do not over lap. The professional's goal is to make the patient optimally indepen dent. This target includes the patient being ambulatory again, usingtheir hands, independence in self-care activities, standing up againwith devices, and participation in social life with a wheelchair. Pa tients often only want to walk again. Giving information to these pa tients about their disease is a fundamental ethical principle in thecontext of respect for patient autonomy. This principle becomes ef fective by informing the patient about the course of the disease, treat ment options, maintenance processes and possible outcomes.However, the most difficult part of the job is to explain to the para lyzed patient that he cannot walk again, that is, to give bad news. Inthis article, breaking bad news approaches and ethical aspect to pa tients with spinal cord injury will be discussed.