Stem cell transplant can be a critical, life-saving treatment for patients with hematologic cancers like leukemia, lymphoma, and multiple myeloma. As an oncology nurse, I strongly support the practice of this procedure in the Philippines as it offers hope for long-term remission and overall improvement in quality of life. However, despite all its potential benefits, I also think that there are also multiple factors to consider on its implementation, such as accessibility, costs, and possible ethical issues. The high costs and limited availability of transplant centers that offer the treatment pose significant barriers for many Filipino patients who need the procedure. Ethical issues surrounding stem cell transplant from bone marrow may include the potential for harm to the donors, genetic manipulation of stem cells, and the potential for coercion (especially when donors are family members or part of the vulnerable population). All of these should be taken into consideration while balancing with the procedure’s potential life-saving benefits for the patients. Considering these factors, it is thus essential for oncology nurses to advocate for increased public awareness, better government support, and more investments in healthcare infrastructure to make stem cell transplant more accessible to all while ensuring that the procedure adheres to global standards of safety and ethical practice.