And then there was her outfit. “I want to die looking beautiful. I’ve always thought I want to die looking good. I’ll wear my prettiest dress and put on makeup; it will be something simple,” she said.
Her family would be allowed to come say goodbye, she noted, but when the lethal injection was administered, she wanted to be alone with her doctor.
Noelia Castillo Ramos seen in a video dated March 26, 2026 | Source: YouTube/@Antena3
While her mother, Yolanda Ramos, ultimately stood by her daughter’s side — saying resignedly, “I do not agree, but I will always be by her side” — her father took a different path entirely.
He sought to legally block her euthanasia, arguing that her mental health conditions compromised her ability to make a free and informed decision. He was backed by Abogados Cristianos, a conservative advocacy group also known as Christian Lawyers.
His challenge made its way through Spain’s legal system and eventually to the European Court of Human Rights, and at every turn, it failed.
Noelia Castillo Ramos with her mother, Yolanda Ramos, seen in a video dated March 26, 2026 | Source: YouTube/@Antena3
Noelia did not soften her words when speaking about him. Her father had witnessed her fall from the rooftop in 2022 and could not stop it. Yet the legal battle he waged afterward erased whatever sympathy she might have had left.
“After everything he’s done, I don’t feel sorry for him anymore,” she said. “He hasn’t respected my decision, and he never will. Why does he want me alive? To keep me in a hospital?”
He was not present at her death.
Noelia Castillo Ramos with her mother, Yolanda Ramos, seen in a video dated March 26, 2026 | Source: YouTube/@Antena3
Spain became one of a small number of countries to legalise euthanasia and assisted suicide in June 2021, under the Organic Law on the Regulation of Euthanasia.
The law allows adults over 18 who are experiencing serious, chronic, and debilitating suffering to apply for assisted dying.
Spain’s Constitutional Court, and later the European Court of Human Rights, both concluded that Noelia met the legal threshold — and that she possessed the “full capacity to decide” whether to end her life.
Noelia Castillo Ramos seen in a video dated March 26, 2026 | Source: YouTube/@Antena3
Her father’s final legal challenge was rejected, clearing the way for the procedure to take place on Thursday.
On Thursday evening, Abogados Cristianos confirmed on X that Noelia had passed away. The group said her case “highlights the serious flaws” in Spain’s euthanasia law — a view sharply contested by those who supported her right to choose.
Noelia Castillo Ramos, dated March 26, 2026 | Source: YouTube/@Antena3
Her case prompted widespread discussion in Spain, with differing opinions on euthanasia and personal autonomy.
Some supported her right to decide, while others questioned whether additional support should have been considered.
Her case was also cited by advocacy groups as part of ongoing debates about Spain’s euthanasia law.
Noelia and Yolanda Ramos seen in a video dated March 26, 2026 | Source: YouTube/@Antena3
Her case remains part of a broader national conversation about medical, legal, and personal decisions at the end of life.
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