Hispanic, particularly Spanish-preferring, families of children with poor prognosis cancers report disparities compared with non-Hispanic families, including inconsistent interpreter use, inappropriate use of bilingual children as interpreters, confusion about prognosis and treatment, perceived discrimination, and inadequate end of life anticipatory guidance. This session presents qualitative data from families about their experiences at a tertiary children’s hospital in the Intermountain west, and outlines opportunities for addressing these disparities.