Pila is an amphibian that can perform both branchial and pulmonary respiration. When in water, it breathes through gills called ctenidia located in the branchial chamber. On land, it breathes through a pulmonary sac located in the pulmonary chamber. The pulmonary sac allows for gas exchange between air and blood. Pila can also respire underwater using a respiratory tube formed by its nuchal lobe to bring air into the pulmonary sac. Its osphradium organ helps detect chemicals in the water.