Outpatient palliative care can provide welcome relief to patients who may live for many years with serious respiratory disease. The focus on relieving symptom burden, illness related distress, and improving quality of life complements disease directed treatment throughout the course of illness. Keynote presentations from two visionary thought leaders in pulmonary focused palliative care will bookcase brief presentations of innovative implementation strategies from clinician scientists who are working in outpatient pulmonary palliative care.