COPD is a group of lung diseases that make it difficult to breathe out air from the lungs due to narrow airways. The two main types are chronic bronchitis, which involves long-term coughing, and emphysema, which damages the lungs over time. COPD progresses through four stages from mild to very severe. Symptoms include shortness of breath, chronic cough, and sputum production that varies daily. The primary cause is tobacco smoking, but other irritants like secondhand smoke or air pollution can also lead to COPD. Diagnosis involves consideration of risk factors like smoking history and exposure to lung irritants. Pathology shows the evolution of harmful changes in lung function starting with airway and sac damage