The principles of palliative care form an important part of disease management and are encouraged as part of good practice for all health professionals caring for the women. Knowledge and application of the principles of palliative care should be part of the practice of health care professionals. This chapter discusses the management of the common symptoms associated with gynaecological malignancies. Hypercalcaemia of malignancy is common in cervical carcinoma and is a poor prognostic indicator. Clinical features include anorexia, nausea, vomiting, constipation, drowsiness and confusion but it should be looked for in patients who are deteriorating with no clear reason. Although syringe drivers are used at the end of life, they can be appropriate at other stages of illness. The chapter tabulates the drugs which can be mixed with morphine or diamorphine in a syringe driver. Provision of palliative care to women with gynaecological cancer requires excellent communication and team working.