Background: Chronic obstructive pulmonary disease is one of the most common non-communicable illnesses, having the potential to be fatal, it is now the third leading cause of death worldwide. Objectives: The aim of our study was to estimate the prevalence of COPD, its associated risk factors, causes and management in Saudi Arabia. Methods: For article selection, the PubMed database and EBSCO Information Services were used. All relevant articles relevant with our topic and other articles were used in our review. Other articles that were not related to this field were excluded. The data was extracted in a specific format that was reviewed by the group members. Conclusion: In Saudi Arabia, the prevalence estimated of COPD is relatively high, moreover it increases by time. High prevalence of smoking and increased age was reported to be the most common effective risk factors of COPD in Saudi population. COPD is now considered a preventable and potentially treatable disease if detected in the early stages. Avoidance of exposure to harmful particles, mainly smoking, can prevent progression to a clinically significant stage of the disease.