In 2010, Jennifer Temel et al. published a seminal paper in NEJM on early referral (within 8 wks. of diag) to subspecialty PC at MGH in patients newly diagnosed with advanced non-small-cell lung cancer. This showed that early outpatient palliative care in addition to usual oncology care for metastatic non-small cell lung cancer improves physical symptoms, depression, sense of well-being, and not only doesn’t shorten life, but it may also prolong life. This has been a game changer for collaboration between oncology and palliative care. My talk highlights the importance of early involvement of palliative care in the lung cancer patient.