Background: Percentage of cigarette smoking in Indonesia is increasing. In 2010 it ranked first with a percentage of 28.6%. In 2015 ranks first with a percentage of 38.8%. Smokers prevalence in Special Province of Yogyakarta is high in Bantul Regency 85,7%. Smoking behavior is harmful to the body, can cause various kinds of dangerous diseases to the occurrence of death, one of which is chronic obstructive pulmonary disease (COPD). The prevalence of COPD in Indonesia in 2013 was 37%. Objectives: The purpose of this study was to determine the description of smoking behavior with the incidence of Chronic Obstructive Pulmonary Disease (COPD) at RS Paru Respira Yogyakarta. Method: Design This research method was descriptive with cross sectional approach. Sampling using purposive sampling technique and the number of samples that meet the criteria amounted to 95 respondents. Data analysis used univariate analysis to determine frequency distribution, percentage, mean, median, maximum, minimum, and standard deviation. Results: The majority of respondents are male, and the average age of respondents is 61 years. The majority of respondents only have elementary education, and work as housewives. Most of the respondents were active smokers, the average age of the initial smoking of 16-year-old respondents, on average smoking for 32 years. While the type of cigarettes smoked was a filter with the number of 11 cigarettes per day. The average respondent quit smoking 6 years and the average smoking started smoking again 7 years. The majority of respondents have members who smoke and guests who smoke at home. Conclusion: The description of smoking behavior in respondents at RS Respira Yogyakarta was mostly active smokers, the average age of the initial smoking of respondents 16 years, the average has been smoking for 32 years. While the type of cigarettes smoked was a filter with the number of 11-21 cigars per day. The average respondent quit smoking 6 years and the average smoking started smoking again 7 years. The majority of respondents had members who smoked and all the guests smoked at the respondent's hom