Ramón Sampedro wants to end his life because a diving accident 28 years before that turned him into a quadriplegic. For most of those years he made the most of it: writing, developing a close relationships with his family, who all help to care for him. While grateful to his family and friends for their help, Ramón was always an active person. He has come to see his life as frustrating and pointless and wishes to die with what remains of his dignity. Gené is a friend who works with a "Right to Die" organization who introduces Ramón to Julia, a lawyer he hopes will help him persuade the courts to let him end his own life. As Ramón and Julia work together on his case, Ramón finds himself falling in love with his attorney, but Ramón remains convinced that the greatest gift to him would be an end to his life.