Survivin is an essential chromosomal passenger protein required for mitotic progression. It is also an inhibitor of apoptosis and can prevent caspase-mediated cell death. In addition, survivin levels are elevated in cancer cells where its presence correlates with increased resistance to chemo-and radio-therapy, which makes it an attractive target for novel anti-cancer strategies. Interestingly, survivin is phosphorylated by the mitotic kinase, cdk1, and a nonphosphorylatable form, survivin T34A , cannot inhibit apoptosis. Here we rigorously test the ability of survivin T34A and its corresponding phosphomimetic, survivin T34E , to promote cell viability through survivin's dual roles. The effects of these mutations are diametrically opposed: survivin T34A accelerates cell proliferation and promotes apoptosis, whereas survivin T34E retards growth and promotes survival. Thus the phosphorylation status of survivin at T34 is pivotal to a cell's decision to live or die.