Objective To determine the consistency on endoflife decisionmaking in terminalstage patients and their families. Methods A total of 268 pairs of terminalstage patients and their families were selected from 2 tertiary hospitals in Nanchong using convenience sampling and were asked to complete a selfdesigned questionnaire regarding endoflife decision-making intentions separately. Results The consistency on "patient participation in making treatment decision" and "palliative treatment for improving quality of life" was 69.03% and 74.63% respectively, with Kappa values being 0.529 and 0.530 (P<0.01 for both）. The consistency on the rest 4 decisions ranged from 32.84% to 47.39%, with the Kappa values being 0.080-0.210 (P<0.05, P<0.01). Conclusion There is a difference in treatment decisions between terminalstage patients and their families. Treatment decisions made by family members cannot fully reflect desire of patients.