Advance Care Planning (ACP) was introduced as part of patient care in the acute hospitals in Singapore in 2010, and has been gaining traction among hospital providers and their patients. The Agency for Integrated Care (AIC) hopes to strengthen ACP training and awareness in the social and community care sectors. Primary care physicians play an important role to introduce ACP, provide relevant information based on patients’ health status, and offer advice, encouragement and guidance to enhance understanding, reflection and discussion. They can help patients and their loved ones identify issues in coping with chronic diseases or possible life-threatening conditions. When done well, ACP can uphold the respect and dignity of patients and allow for patient-centric care continuation. ACP conversation often begins by listening and exploring the patient’s story. Physicians should be attuned to their patients’ fears, worries and concerns, and identify triggers for opportunistic discussions about ACP with them. With adequate ACP and communication training, primary care physicians are probably best placed for timely ACP initiation.