Despite highly-publicised court cases internationally in which (some) family members seek to have feeding tubes withdrawn from vegetative relatives (e.g. Schiavo in the USA, Englaro in Italy, Bland in England) there is no research exploring how family members arrive at this decision, navigate the social and medico-legal contexts in which this decision must be implemented, or how they experience their relative’s subsequent death. This paper fills that gap. Based on thematic analysis of in-depth qualitative interviews, we explore the experience of 13 such family members. Our analysis shows (1) despite pursuing ANH-withdrawal interviewees often have strong ethical concerns about it but come to view it as the ‘least worst option’; (2) interactions with healthcare professionals (and ‘the public’) help shape family expectations and experience; and (3) in contrast with their fears about death after ANH-withdrawal, interviewees reported ‘peaceful’ deaths and – despite some ongoing reservations - none regretted that their relative had been allowed to die this way. We conclude by highlighting the ethics and policy implications of our findings.