Since the 1970s, near death literature has proliferated on library shelves and even the shelves of Lutherans. In recent years some of these books, such as 90 Minutes in Heaven and Heaven is for Real, have enjoyed widespread fame. Because science and Scripture leave such experiences open as possibilities, one needs to be careful in addressing the issue. This paper demonstrates how most near death experiences can be explained scientifically. This paper also highlights some points to consider in counseling someone who has had a near death experience.