This paper presents physiotherapy and other necessary procedures in the field of palliative care, palliative care needs in Croatia and in the Bjelovar-Bilogora County (BBZ) area, issues of palliative care, imposed by demographic changes, aging population and an increasing number of patients incurable diseases. It is described what is palliative care and, in short, its historical development. Also, the state and organization of palliative care in Croatia and some countries are presented. The aim of this paper is to investigate the needs and models for palliative care in this department and in the area of BBC through the conducted survey conducted by patients at the Department of Otorhinolaryngology of the General Hospital of Bjelovar, who are at the department for the terminal phase of the disease. In the Republic of Croatia palliative care has not been realized and there are many disadvantages and failures in the organization of palliative care. Therefore, some recommendations have been given in the paper in order to overcome the existing disadvantages and raise the level of palliative care quality. Given that BBC lives annually between about 400 patients suffering from non-susceptible disease, there is a need for palliative care. Performing palliative care is not possible without educated multidisciplinary teams that will establish a high level of palliative care through their joint collaboration. Bjelovarsko-bilogorska county has spatial capacities that can be used for palliative care of patients, but there are also educated health professionals who will be able to implement palliative care.