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This case study explores the ethical complexities surrounding the treatment of Mrs. H, an elderly woman with multiple myeloma. Divergent goals between her family, rooted in Ubuntu and Christian values, and the medical team prompted ethical deliberation. Faced with this tension, the care team, guided by principles of solidarity and cultural humility, engaged in meaningful dialogue facilitated by an experienced ethicist. The resolution respects the family's cultural and religious beliefs while adhering to medical ethics. This case highlights the importance of understanding and integrating cultural values in healthcare decision-making, ultimately achieving a patient-centered approach that respects the diversity of perspectives.