COPD is a very common respiratory problem that we see in routine practice. Patient presents with breathlessness, chronic cough, decreased exertion capacity and weakness. Smoking is a major contributor to COPD. We evaluate these patients with basic blood tests like CBC, xray chest, PFT and sometimes a CT scan of chest. Inhalers are mainstay therapy in COPD. As per PFT values and symptoms we individualize the therapy for each patient. Nowadays we have single inhaler triple drug therapy which make it very easy for the patient to take. These new class of SITT has improved quality of life of patients and improved lung function too. Smoking cessation is also a. Important part of treatment. For more details on this you can visit our clinic.