At the 42nd Annual Meeting of the European Society for Blood and Marrow Transplantation (EBMT), held in Valencia, Spain, John Murray, a Nurse Clinician at the Christie NHS Foundation Trust, Manchester, UK, discusses the role of a good nursing care in the veno-occlusive disease (VOD) management. VOD is a rare complication with 80% mortality in severe cases. Recognition of symptoms, such as weight gain or right upper quadrant pain by nurses means that action can be taken and compications reduced.