In this era of instant communication through text messaging, e-mail, instant messaging, and cellular phones, personal communications, particularly handwritten notes or personal letters, are becoming quite rare. These technological advances in communications may, ironically, be contributing to the demise of various forms of communication, including the doctor’s letter of condolence.1 Writing a letter of condolence rarely occurs when a patient dies. This is unfortunate, as we are losing an opportunity to enhance our contact with the loved ones of the recently deceased, and as a result we are distancing ourselves further from those whom we serve. Surprisingly, medical textbooks or journals rarely devote pages to this final act of kindness, and may be contributing to the demise of such letters.2 In this article, I will review the literature on the doctor’s letter of condolence as well as calls from those who have proposed that we not abandon this practice. While some physicians have sent letters of condolence, many have not, yet it can be argued that this simple gesture may afford the bereaved great consolation.