With the printing and distribution of this issue of Palliative & Supportive Care (PS&C Volume 2, Number 4), we complete and celebrate the second year of publication of this rather unique scientific journal. It may seem to be a small affair really, this scientific journal business, yet it is in fact larger than one initially appreciates. It requires the immense diligence and hard work of a rather large cadre of editors, publishers, reviewers, and of course the scientists and writers who so graciously present their work into our trust. But, what has been the most profound realization of the last year is the fact that scientists and clinicians around the world actually read and appreciate our “small” journal.