Chronic obstructive pulmonary disease (COPD) is a progressive condition and major cause of morbidity and mortality in old age.It has been reported that severe COPD is a risk factor for developing lung cancer.Lung cancer in COPD patients is more common in men than in women.The adverse events of severe COPD are associated with poor quality of life, intolerable dyspnoea, pain, fatigue, loneliness, and depression and anxiety symptoms.There is strong evidence to suggest that palliative care provision for cancer patients improve quality of life and reduce health care cost.Despite the high morbidity and mortality related to patients with severe COPD, many patients do not receive adequate palliative care.The reasons why COPD patients do not receive palliative care are complex.