The GOLD 2017 Report provides current evidence-based information to make recommendations regarding optimal COPD patient diagnosis and treatment for the clinician. However, there are gaps in the recommendations in some aspects of care because of contradictory evidence in the current medical literature. This session will focus on the current gaps in knowledge in the most important areas that exist in the care of the COPD patient. Hopefully this session will initiate and spur a sustained dialogue about these issues between clinicians, researchers and patients and help foster a creative multidisciplinary approach to addressing these gaps in current knowledge.