THE LAST DAY OF TREATMENT is a time of both celebration and fear. 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 worry at the end of treatment; but for the majority of families, the months and years roll by without recurrence of the leukemia.

However, while many children and teens quickly return to excellent physical and mental health, others have lingering or permanent effects from the treatment. This chapter covers the emotional and physical aspects of ending treatment and the need for excellent medical follow up.