THE LAST DAY OF TREATMENT is a time for both celebration and fear. Most families are thrilled that the days of pills and procedures have ended, but some fear a future without drugs to keep the disease away. Concerns about relapse are an almost universal parental response at the end of treatment; but for many families, the months and years roll by without recurrence of the tumor.

However, many children and teens have lingering or permanent effects from treatment for solid tumors. This chapter covers the emotional and physical aspects of ending treatment, the need for excellent medical follow-up, and employment and health insurance issues.