Advances in biotechnology now bring complex moral questions into everyday life—from infertility and genetic testing to end-of-life decisions and medical enhancement. These choices often reveal deep tensions in our values and beliefs. Pastoral counsellors can help people navigate these challenges by drawing on the wisdom of the Good Shepherd (Jn 10:11), who promises to guide his sheep through the “valley of the shadow of death” (Ps. 23:4). By nurturing Christian imagination and discernment, pastors can offer steady guidance amid the uncertainty of modern, consumer-driven healthcare. This workshop explores how theological reflection can shape our response to human frailty, grief, and limitation—helping believers find hope and gratitude even in loss. Through practical tools such as deep empathic listening, linking decisions to theological values, and using a holistic approach that integrates personality and spirituality, participants will learn how to walk with others through ethically and emotionally complex moments of care.