This paper discusses the state of chaplaincy—professional spiritual care—in the secularized context of the Netherlands. The present religious and cultural climate is sketched, as well as the organization of chaplaincy and the daily practices of chaplains. Two important recent developments are highlighted: the rise of non-denominational spiritual care and spiritual caregivers getting involved in extramural care (community care). Finally, the Guideline Spiritual Care—an interdisciplinary model for providing spiritual care—is presented. It is argued that chaplaincy in the Netherlands has gone through a process of transformation, in which the relation between the professional and the religious identity of the chaplain had to be redefined. Spiritual care may still be denominationally organized in the Netherlands, but the spiritual caregivers share a common professional identity as professionals who focus on meaning, belief systems, and ethics.