Fabulous quilt both front and back and front and back are truly interchangeable. The pillowcases are wonderful extra touch and will make it easy for her to transport the quilt to treatments. Love your analogy of the warrior puppies. It is sure to bring her comfort and a strong fighting attitude to beat the beast she is currently battling. Every time someone comments on her wonderful quilt (which is sure to happen by other patients, nurses, drs and others) it will remind her just how much you love her and give her the strength and courage she needs.