Can the general counseling ethics be applied to the care of terminally ill cancer patients? Facing the impending death, the terminally ill cancer patients need to be helped by counselors not only in psychological aspect, but also in physical, social, and spiritual aspects. The study was using hermeneutical approach to understand the counselor’s personal experiences of encountering with four terminally ill cancer patients. The counselor experienced some critical dilemmas that she struggled with “being a counselor according to the ethics” or “being a real helper according to the needs of the dying patients”. Following by the hermeneutical circle of understanding, the researcher found out that the general counseling ethics could not support the total care of dying patients. In order to care the wholeness of the dying patients, we should consider the differences and specialties of the terminally ill cancer patients. As well as we should allow more flexible ways of counseling which means the conducts of caring the dying patients should be high above the general counseling ethics. The core essence of ethics of counseling the dying patients is the humanity.