Fewer than half of patients with COPD deemed suitable for pulmonary rehabilitation received a referral to a pulmonary rehabilitation program in tertiary hospitals across the world. The latest observational study in Australia by a medical research team Dr Sarah Hug, faculty of health sciences at the Curtin School of Allied Health and the department of physiotherapy at Royal Perth Hospital, analysed 391 adults with COPD who were deemed appropriate candidates for pulmonary rehabilitation programs across three tertiary hospitals in Australia, among whom 47% were referred to a pulmonary rehabilitation programme. In addition, the researchers also pointed out that from the participants’ side, the most frequently reported barriers to not attending a pulmonary rehabilitation program were related to environmental context, such as travel distance, inflexibility of programs etc.