Chronic Obstructive Pulmonary Disease (COPD) is nowadays, spreading widely across the globe. COPD is increasingly becoming a natural burden and anticipated to as the rank third cause of mortality by 2020. There is a need to establish an early diagnosis for the disease. Similarly, clinical context and risk factors that accompany COPD are essential for positive diagnosis, but pulmonary function tests are imperative for confirmation purposes. COPD is commonly associated with smocking. Cigarette smoking ranks as the main cause of COPD. However, water-pipe smocking is becoming prevalent behavior in most Middle Eastern countries and thus, becoming a significant causal factor for COPD. A systematic study conducted by medical practitioner in April 2011 in Easter countries to determine the link of water-pipe-smoking and COPD indicated that water-pipe smocking is a significant casual factor of COPD. The study revealed that water-pipe smoking negatively affects lung function and is equally dangerous as cigarette smoking.