Breathlessness is a common presenting symptom for many patients. It causes significant distress and affects people’s quality of life as they are not able to participate in the activities that they enjoy. Breathlessness also causes anxiety and fear as it is a terrible feeling. This video explains how to manage patients with breathlessness. We explain how to investigate the cause for breathlessness and what to do if a cause cannot be found. The role of respiratory physiotherapy in the management of patients who experience short of breath is explained. Respiratory physiotherapy can be very beneficial for these patients when medical therapy is not able to resolve their breathlessness.