Introduction: Care within the home usually relies primarily on a family member or friend. Indeed, without the support of a family caregiver, home palliative care would be impossible. Objectives: To assess caregiver__ampersandsignrsquo;s needs and burden among family caregivers of terminally ill cancer patients. Materials and Methods: A cross-sectional study was conducted in a tertiary care hospital from July 2015 to September 2017 using a predesigned and pretested schedule. Among family caregivers of terminally ill cancer patients admitted to the hospital, one family member was considered, who was primarily responsible for providing care to the patient. A total of 110 family caregivers were included in the study. The analysis was done using SPSS v. 20.0. Results: Most of the family caregivers were either children (35%) or spouse (23.6%) of terminally ill patients and the average caring time was 4.3 hours per day. 97% of people did not receive any practical help from anyone outside the family. As high as 69% of people were in need of maximum support from physicians or other trained professionals to provide optimum care to their loved ones. About 40% of the people experienced severe burden in the process of caring for their loved ones and they were at high risk of developing psychosomatic symptoms. Conclusion: The family caregivers lack appropriate training and knowledge for providing optimal care to their loved ones in a state of advanced illness. They should be trained about providing better palliative care services and support.