Physiotherapy for COPD — as provided by most general physiotherapy clinics — typically focuses on airway clearance and basic breathing exercises. The Pulmovista pulmonary rehabilitation programme is comprehensively different: it includes medically supervised progressive exercise training at individually prescribed intensity; inspiratory muscle training; multi-domain nutritional assessment and support; formal psychological screening and integrated psychological support; structured multi-topic patient and caregiver education; and a long-term follow-up plan — all under the direct oversight of me, Dr. Dixit Kumar Thakur, as senior pulmonologist. The evidence base for this comprehensive approach far exceeds that for physiotherapy alone.