Art therapy in palliative care can be considered as one of the complementary and interdisciplinary interventions that, along with medical, nursing, psychological, and spiritual care, pays attention to the complex dimensions of pain, suffering, meaning, and end-of-life experience. Palliative care is not limited to the control of physical symptoms, but also aims to reduce suffering and support the quality of life of the patient and the family in the face of a life-threatening illness. In this framework, pain is a multidimensional experience that is related to anxiety, fear, depression, loneliness, worry about the future, and the person's perception of the meaning of the disease, in addition to the physical component. By providing a safe space for expressing these complex experiences, art therapy can allow the patient to represent parts of their suffering that are difficult to express directly in the form of images, colors, music, creative writing, drama, or other artistic processes. The theoretical basis of this approach is based on a holistic view of the human being; in this view, the body, mind, emotion, relationships, and meaning are inseparable from each other, and changes in each of these areas can affect the overall experience of the disease. A patient with advanced cancer may simultaneously experience physical pain, feelings of lack of independence, worry about death, changes in family roles, fear of separation, and deep questions about the meaning of life. Therefore, an intervention that addresses only one of these dimensions may not be able to cover the entire experience of the patient's suffering. Art therapy, with its flexible nature, can allow the patient to approach these different layers of experience and allow the patient to express his or her lived experience without the need for a logical and coherent explanation. In palliative care, the importance of the artistic process exceeds the final product, and the value of the intervention is not limited to the degree of beauty or artistic skill of the work. The patient can use the simplest tools to create an image of pain, fear, hope, memory, or their relationship with life, and then talk about it if they wish. This process can help organize the emotional experience and reduce inner turmoil. One of the most important areas of application of art therapy in palliative care is the management of the experience of pain. Cancer pain is influenced by physical and psychological factors, and anxiety, constant attention to pain, and feelings of helplessness can exacerbate the experience of pain. Art therapy is not a substitute for pain medications or medical procedures, but creative activity may affect the way we experience pain and the amount of discomfort it causes by changing the direction of attention, reducing tension, regulating emotion, and creating a sense of active participation. For example, music can provide calming and stress reduction in some patients, and visual activities can make it possible to transfer attention from the experience of pain to a meaningful activity. However, a distinction must be made between reducing the physiological intensity of pain and reducing perceived suffering or discomfort, as the effect of artistic interventions on these two levels is not the same. In some cases, art can even help the patient describe pain in their own language, facilitating communication between the patient and members of the treatment team. Another essential dimension of palliative care is the experience of suffering. Suffering may arise when a person feels that the illness has not only affected their body, but also threatened their identity, relationships, independence, and future. Art therapy can provide a space for the representation of this suffering, allowing the patient to reveal parts of their experience that are hidden in the usual conversation. In this process, the therapist should not try to predetermine the meaning of the effect, but should pay attention to the patient's own narrative. A color, image, or symbol may be a sign of fear for one patient and a sign of calm for another, and therefore the meaning of the effect must be understood in the context of the person's life and personal experience. The issue of meaning has a special place in palliative care. Exposure to advanced illness may raise questions about why suffering, the meaning of continuing to live, important relationships, past achievements, and the future that remains. Art therapy can provide a platform for meaning-making, allowing the patient to review their life story and reconstruct important parts of it. Creating works about important memories, meaningful people, precious places, or defining moments in life can help maintain the continuity of identity. In this situation, art becomes a tool for recording and transmitting personal heritage and can help the patient feel that their life has meaning beyond illness and medical diagnosis. One of the valuable applications of this approach is to work with memories and the narrative of life. The patient can create a collection of images, writings, or artwork that depict parts of their life path, and this collection can be shared with family members if they wish. Such a process may help in intergenerational communication and the transmission of memories and values, and also provide the family with an opportunity to talk about the patient's life. Art therapy at this stage can be linked to the concept of emotional and semantic heritage, i.e., what a person leaves for others in the form of memories, images, writings, or creative works. In end-of-life experience, the issue of communication is also very important. Sometimes the patient and the family do not talk about their worries and desires due to the fear of upsetting each other, and this silence can increase the feeling of loneliness. However, such interventions should be carried out entirely voluntarily and tailored to the patient's and family's preparedness, and should not force the patient to talk about death or difficult emotional issues. From a psychological perspective, art therapy can also play a role in reducing feelings of isolation and strengthening social connection. In advanced stages of cancer, a patient may distance themselves from the usual network of life due to physical weakness, hospitalization, or reduced social participation. Individual or group art activity can allow for the experience of connection, being seen, and participating. In small groups, patients can share their experiences through artwork and feel that their experience is perceived by others. Of course, the physical condition of patients in palliative care is highly variable, and group interventions are not suitable for everyone. The duration of the sessions, the intensity of the activity, and even the choice of artistic tools should be adjusted based on the patient's energy level, pain, alertness, and preferences. Flexibility is an essential feature of art therapy in this area, as the patient's condition may change from one day to the next. Sometimes a short session of a few minutes can be more appropriate than a long activity, and even listening to selected music or viewing an image can replace active artistic activity. The role of the therapist in this situation is also more focused on accompaniment, facilitating expression, and maintaining psychological security, rather than on producing an artistic product or achieving a predetermined result. In interdisciplinary collaboration, the art therapist should work in conjunction with the physician, nurse, psychologist, palliative care specialist, and, if needed, a spiritual counselor so that the artistic intervention is coordinated with the patient's medical condition. For example, a sudden increase in pain, a change in consciousness, shortness of breath, or severe weakness may require immediate medical evaluation and should not be treated solely as a psychological issue. One of the main challenges in this area is the distinction between psychological support and treatment of medical symptoms. Art therapy can complement the management of pain, anxiety, or suffering, but it does not replace pharmacological treatment, nursing care, symptom control, or medical support. Also, in some patients, facing issues such as death, loss, or painful memories may generate intense emotions, and therefore the therapist must be prepared to manage emotional reactions and refer to the relevant specialist. Another limitation is the difficulty of standardizing artistic interventions in end-of-life care. Differences in the type of cancer, stage of the disease, culture, individual beliefs, physical condition, and artistic preferences make it difficult to have a consistent protocol for all patients. Also, a large number of studies in this area have been conducted with small samples and short intervention periods, and measuring outcomes such as meaning, peace, dignity, and suffering is also methodologically complex. The end-of-life experience is largely individual and cannot be explained on a quantitative scale alone, so the use of qualitative methods along with standard measures can provide a more complete understanding of the patient's experience. In future research, the effect of art therapy on dimensions such as perceived pain, anxiety, sense of meaning, quality of life, sense of dignity, family connection, and care experience can be investigated, as well as its role in supporting family members and caregivers. Overall, art therapy in palliative cancer care can create a human space to confront pain, suffering, meaning, and the end of life, a space in which the patient is not merely seen as a person with advanced disease, but as a human being with unique memories, relationships, values, choices, and stories. The creative process can allow the patient to express their experience in a personal way, maintain some of their control and agency, foster an emotional connection with the family, and reconstruct or reveal their personal meaning in the face of the disease. The value of this approach in palliative care, rather than the complete elimination of pain or suffering, lies in creating the possibility of companionship, expression, communication, and meaning-making in situations where human beings are faced with serious physical and existential limitations. Accordingly, art therapy can be considered as part of a comprehensive, interdisciplinary model of palliative care, which links the control of physical symptoms with regard to mental health, human relationships, identity, meaning, and quality of life experience.