This article deals with music therapy in palliative care. The prospect of death changes enormously the life of the patient and his/her family, this often leads to difficulties in communicating. We will see how music therapy comes to the help of these clients when speech is not enough anymore. Music facilitates the expression of emotions and communication with the patient and his family, bringing them some appeasement. We will look in depth at the therapeutic power of music in its expressive, communicative, symbolic, reminiscent, transitional and creative aspects. The therapeutic process will be described using stories both from children’s and adult’s cases toward the end of their life. These “ vignettes ” will show how music therapy allows expression of emotions related with end of life (anger, sadness...), overcoming fear of dying, and sharing quality moments with family.