The Ten of Swords is always a nasty bit of business to draw in a reading, symbolizing the feeling of being stabbed in the back, or utter defeat. While the dawn breaking on the horizon offers a hopeful note, typically this card indicates that you are facing an irrevocable ending, one that generally is accompanied by pain, regret, and sorrow.

In a medical/health reading, this card does not signify anything more than you’re about to go under the knife (or are experiencing pain in your back/midsection)—it’s not a negative card in medical readings so much as an indication of pain. When you draw the Ten of Swords, be willing to let go what you must (or brace yourself for an ending you might not be ready to make), and know that you are strong enough to survive this ending. Better things are waiting for you on the horizon!