The Four Things That Matter Most: A Book About Living
“Please forgive me,” “I forgive you,” “Thank you,” and “I love you”
About This Book:
Reading Rating:
Published: 2004
Genre: Self-Help, Health, End-of-Life Care
Ira Byock spent decades as a palliative care physician, sitting with dying patients and their families. Over those years, he noticed a pattern: the people who died peacefully weren't necessarily the ones with the most faith, the best deaths, or the least pain. They were the ones who had said four things.
Please forgive me. I forgive you. Thank you. I love you.
The Four Things That Matter Most is Byock's guide to saying these phrases before it's too late. These four statements can heal relationships, resolve lingering resentments, and deepen the connections that matter most while everyone's still alive to appreciate it.
Through stories from his medical practice and practical guidance, Byock shows how to approach difficult conversations with honesty and compassion. This isn't a morbid book about death. It's a practical book about living fully by addressing what we usually avoid.
Published in 2004, the book has helped countless people repair relationships, express gratitude, and say what needs to be said before the opportunity is gone.
Perfect for readers who appreciate: Self-help, relationships, end-of-life wisdom, communication, family dynamics, living without regret
Why We Recommend This Book:
Most of us are walking around with things unsaid. Apologies we owe, forgiveness we're withholding, gratitude we haven't expressed, love we assume people already know about. Byock's message is urgent but not alarmist: say these things now, while you still can.
This book matters for anyone carrying unresolved hurt in their relationships, anyone estranged from family, or anyone who wants to make sure the people they love actually know it. It's also powerful for those facing serious illness or caring for aging parents—times when these conversations become unavoidable.

