Noelia Castillo Ramos, 25, died in Spain after winning a legal battle to end her life through medically assisted death. Her case, which divided her family and the nation, involved chronic physical and psychological pain following a sexual assault in 2022 that left her paraplegic. Castillo Ramos had been seeking euthanasia since 2024, but her father sued to prevent it.

Spain legalized medically assisted death in 2021, and as of 2024, 1,123 people had been granted the right to end their lives under the law. However, only 46 percent of applicants receive approval, with most being over 60 and suffering from neurological diseases or cancer. Castillo's case went to the European Court of Human Rights, which upheld a Spanish court's ruling in her favor.

Her father enlisted lawyers from Abogados Cristianos, a Catholic legal advocacy organization opposing Spain's assisted dying laws. The case sparked intense debate, with some politicians calling for respect of her decision while others claimed the state had failed her. Castillo's story highlights the complex ethical and legal challenges surrounding assisted dying, even in countries where it is legal.