diff --git a/src/mcp/server/lowlevel/server.py b/src/mcp/server/lowlevel/server.py
index 59de0ace4..3abc72b55 100644
--- a/src/mcp/server/lowlevel/server.py
+++ b/src/mcp/server/lowlevel/server.py
@@ -502,9 +502,9 @@ async def _handle_request(
                     response = err.error
                 except anyio.get_cancelled_exc_class():
                     if message.cancelled:
-                        # Client sent CancelledNotification; responder.cancel() already
-                        # sent an error response, so skip the duplicate.
-                        logger.info("Request %s cancelled - duplicate response suppressed", message.request_id)
+                        # Client sent CancelledNotification; per the MCP spec the
+                        # receiver MUST NOT send a response for the cancelled request.
+                        logger.info("Request %s cancelled - no response sent per spec", message.request_id)
                         return
                     # Transport-close cancellation from the TG in run(); re-raise so the
                     # TG swallows its own cancellation.
diff --git a/src/mcp/shared/session.py b/src/mcp/shared/session.py
index 243eef5ae..c8663ef82 100644
--- a/src/mcp/shared/session.py
+++ b/src/mcp/shared/session.py
@@ -148,11 +148,8 @@ async def cancel(self) -> None:
 
         self._cancel_scope.cancel()
         self._completed = True  # Mark as completed so it's removed from in_flight
-        # Send an error response to indicate cancellation
-        await self._session._send_response(  # type: ignore[reportPrivateUsage]
-            request_id=self.request_id,
-            response=ErrorData(code=0, message="Request cancelled"),
-        )
+        # Per the MCP spec, receivers of cancellation notifications SHOULD NOT
+        # send a response for the cancelled request.
 
     @property
     def in_flight(self) -> bool:  # pragma: no cover
diff --git a/tests/server/test_cancel_handling.py b/tests/server/test_cancel_handling.py
index cff5a37c1..7d01fdf14 100644
--- a/tests/server/test_cancel_handling.py
+++ b/tests/server/test_cancel_handling.py
@@ -66,10 +66,11 @@ async def first_request():
                 await client.session.send_request(
                     CallToolRequest(params=CallToolRequestParams(name="test_tool", arguments={})),
                     CallToolResult,
+                    request_read_timeout_seconds=3,
                 )
                 pytest.fail("First request should have been cancelled")  # pragma: no cover
             except MCPError:
-                pass  # Expected
+                pass  # Expected - request timed out since no response is sent for cancelled requests
 
         # Start first request
         async with anyio.create_task_group() as tg:
diff --git a/tests/shared/test_session.py b/tests/shared/test_session.py
index d7c6cc3b5..e953c0b0d 100644
--- a/tests/shared/test_session.py
+++ b/tests/shared/test_session.py
@@ -38,18 +38,27 @@ async def test_in_flight_requests_cleared_after_completion():
 
 @pytest.mark.anyio
 async def test_request_cancellation():
-    """Test that requests can be cancelled while in-flight."""
+    """Test that requests can be cancelled while in-flight.
+
+    Per the MCP cancellation spec, the server MUST NOT send a response for a
+    cancelled request. Instead, the server cancels the handler's cancel scope.
+    The client may time out waiting for a response that will never arrive.
+    """
     ev_tool_called = anyio.Event()
-    ev_cancelled = anyio.Event()
+    ev_handler_cancelled = anyio.Event()
     request_id = None
 
-    # Create a server with a slow tool
+    # Create a server with a slow tool that detects cancellation
     async def handle_call_tool(ctx: ServerRequestContext, params: types.CallToolRequestParams) -> types.CallToolResult:
-        nonlocal request_id, ev_tool_called
+        nonlocal request_id, ev_tool_called, ev_handler_cancelled
         if params.name == "slow_tool":
             request_id = ctx.request_id
             ev_tool_called.set()
-            await anyio.sleep(10)  # Long enough to ensure we can cancel
+            try:
+                await anyio.sleep(10)  # Long enough to ensure we can cancel
+            except anyio.get_cancelled_exc_class():
+                ev_handler_cancelled.set()
+                raise
             return types.CallToolResult(content=[])  # pragma: no cover
         raise ValueError(f"Unknown tool: {params.name}")  # pragma: no cover
 
@@ -64,27 +73,23 @@ async def handle_list_tools(
         on_list_tools=handle_list_tools,
     )
 
-    async def make_request(client: Client):
-        nonlocal ev_cancelled
-        try:
-            await client.session.send_request(
-                types.CallToolRequest(
-                    params=types.CallToolRequestParams(name="slow_tool", arguments={}),
-                ),
-                types.CallToolResult,
-            )
-            pytest.fail("Request should have been cancelled")  # pragma: no cover
-        except MCPError as e:
-            # Expected - request was cancelled
-            assert "Request cancelled" in str(e)
-            ev_cancelled.set()
-
     async with Client(server) as client:
-        async with anyio.create_task_group() as tg:  # pragma: no branch
-            tg.start_soon(make_request, client)
+        # Start the request in a task group we control
+        async with anyio.create_task_group() as tg:
+
+            async def send_slow_request():
+                with anyio.move_on_after(5):
+                    await client.session.send_request(
+                        types.CallToolRequest(
+                            params=types.CallToolRequestParams(name="slow_tool", arguments={}),
+                        ),
+                        types.CallToolResult,
+                    )
+
+            tg.start_soon(send_slow_request)
 
             # Wait for the request to be in-flight
-            with anyio.fail_after(1):  # Timeout after 1 second
+            with anyio.fail_after(1):
                 await ev_tool_called.wait()
 
             # Send cancellation notification
@@ -93,9 +98,12 @@ async def make_request(client: Client):
                 CancelledNotification(params=CancelledNotificationParams(request_id=request_id))
             )
 
-            # Give cancellation time to process
-            with anyio.fail_after(1):  # pragma: no branch
-                await ev_cancelled.wait()
+            # Verify the server handler was cancelled
+            with anyio.fail_after(1):
+                await ev_handler_cancelled.wait()
+
+            # Clean up: cancel the request task which is still waiting for a response
+            tg.cancel_scope.cancel()
 
 
 @pytest.mark.anyio