The concept in which exercise helps people with dyspnea on exertion was first described in 1952. The first standardized outpatient PR program was established in 1960s. ACCP then formulated a definition of PR program in 1974 and this definition has been updated by the ATS/ERS regularly (last in 2013). To date, PR, especially for people with COPD has achieved strong evidence for benefits in multiple outcomes including symptom control (dyspnea and fatigue), exercise capacity, muscle strength and quality of life. Despite PR was introduced since at least 60 years ago and has a Level 1 recommendation for benefits in people with COPD, PR is still scarce in Malaysia. Low knowledge and awareness of PR among healthcare professionals, poor multidisciplinary involvement, logistics, accessibility to the program and patient barriers such as lack of perceived benefits were identified as barriers to PR program among healthcare professionals in Malaysia. The first step to setting up a PR program in Malaysia is to break these barriers. The 20min session on ‘PR for COPD – How do we do it?’ will share how a standard PR program can be delivered using minimal resources. Possible solutions to each of the barriers to PR program will also be discussed.