Bhutan, officially known as the Kingdom of Bhutan is a landlocked country in the Eastern Himalayas. Bhutan has a population of nearly 800,000 in a country about 50 times the size of Singapore. Healthcare is mainly provided by the government and there are no private hospitals. Cancer is diagnosed in the late stages for most patients (~75%) where a cure is unlikely. Following a feasibility study in April 2018, the Bhutan Lien Collab programme kicked off in July 2018, with the first training module completed to build up the palliative care services and staff of  the Jigme Dorji Wangchuck National Referral Hospital (JDWNRH).  The Lien-Collab Training modules, to be spread over a few years, are likely to be supplemented by a one-year mentoring programme along with site visits in between modules by smaller faculty teams to bolster service development. The 2nd Module of the Lien Collaborative for Palliative Care Training in Palliative Care Bhutan was conducted from 28 January to 2 February 2019, at JDWNRH in Thimphu.