Open and public discussion of death, particularly among children, remains one of the greatest Japanese societal taboos; therefore, little is known about Japanese children's perceptions of death. To explore Japanese children's notions of life and death, 16 healthy children (7 girls and 9 boys, mean age 8.9) were each interviewed 3 times and asked to draw and describe pictures of what "to live" and "to die" meant to them. Transcribed interviews were interpreted based on thematic analysis, incorporating paradigm cases and exemplars within the hermeneutical tradition. The children perceived life as an evolving process that leads to death, and regarded death as a transitional point to an afterlife. Some children perceived this process, or flow, as linear; others as circular. Their notions of death and the afterlife incorporated three main religious traditions in Japan (Shintoism, Buddhism, and Confucianism) as well as Christianity, as illustrated by 3 case examples and children's drawings. (Contains 1 table and 4 figures.)