Swiss right-to-die associations may assist elderly persons in nursing homes as long as they fulfill certain requirements. The preliminary results of a qualitative study investigating professionals faced with assisted suicide show that such an event challenges the institution’s mission and function, as well as the individual professional stance. It engenders new practices by successive adjustments between resistance and normalization; the ultimate question being whether (or not) death by assisted suicide should be integrated as a mode of support provided by institutions, as life draws to an end.