Objective To conduct a meta-synthesis of the perceptions of good death in malignant tumor patients and provide theoretical basis for developing high quality hospice care and improving the quality of death in such patients.Methods Relevant electronic databases were searched for qualitative studies on perceptions of good death among malignant tumor patients. The methodological quality of the studies was evaluated using the JBI Critical Appraisal Tool for qualitative studies, and the results were integrated using meta-aggregative approach. Results A total of 16 studies were included and 62 findings were extracted, which were summarized into 11 new categories. Finally,4 integrated results were synthesized:understanding the information on cancer diagnosis and treatment, and participation in end-of-life treatment decisions; maintaining a positive attitude and preparing for a comfortable and dignified death; not to be a burden to the family, and saying goodbye to their family members; getting family, religious, medical and social support. Conclusion Hospice staff should respect patients′ right to know and help patients participate in end-of-life treatment decisions. High-quality multidisciplinary hospice care should be provided to meet patients′ physical, mental, social and spiritual needs, so as to help them achieve a good death.