Little is written about what expressing gratitude means to patients and families who recognize their nurse through meaningful recognition. To better understand perceptions of gratitude, a convenience sample of 12 randomly selected patients/family members who nominated their nurse for The DAISY Award® were interviewed about their experience with meaningful recognition. A content analysis of the data revealed 3 behavioral themes: experiencing extraordinary care, synergy of the human connection, and gratitude that transcends the moment. These themes provide insight regarding how expressions of gratitude through meaningful recognition may enhance and benefit the patient experience. Little is written about what expressing gratitude means to patients and families who recognize their nurse through meaningful recognition. To better understand perceptions of gratitude, a convenience sample of 12 randomly selected patients/family members who nominated their nurse for The DAISY Award® were interviewed about their experience with meaningful recognition. A content analysis of the data revealed 3 behavioral themes: experiencing extraordinary care, synergy of the human connection, and gratitude that transcends the moment. These themes provide insight regarding how expressions of gratitude through meaningful recognition may enhance and benefit the patient experience. Cynthia D. Sweeney, DNP, RN, CNOR, NEA-BC, FAAN, is vice president for nursing at The DAISY Foundation in Glen Ellen, California. She can be reached at [email protected] Susan M. Grant, DNP, RN, NEA-BC, FAAN, is executive vice president and chief nursing officer at Beaumont Health in Southfield, Michigan. Cindy Lefton, PhD, RN, CPXP, is vice president organizational consulting at Psychological Associates in St. Louis, Missouri. Melissa Foreman-Lovell, DNP, MBA, RN, NEA-BC, is chief nursing officer at Beaumont Hospital, Troy in Southfield, Michigan