Chronic Obstructive Pulmonary Disease (COPD) is characterised by persistent airflow limitation and is a major cause of mortality worldwide. Unexpected deaths occur frequently, which makes advance care planning (ACP), including patient-physician communication about end-of-life care, particularly important for patients with COPD. Although patients with advanced COPD are able to indicate their preferences for life-sustaining treatments, ACP is uncommon and poorly done. This presentation will focus on the importance of ACP, the timing of ACP discussions, and the efficacy of ACP interventions in patients with COPD.