Background: Respiratory care in Pakistan, including airway management, oxygen therapy, and pulmonary rehabilitation, improves outcomes and reduces costs, underscoring the need for strong clinical education and training. Objective: To evaluate the clinical practices and education of respiratory care in Pakistan. Methodology: A descriptive cross-sectional study based on a survey. Sample size of (n=86) RTs and age of 18 to 65. This study lasted 6 month form 15 Feb 2024 to 15 July 2024. Data for this study was collected from RTs across Pakistan using an online Google Form. Results: A study of 86 respiratory therapists (RTs) in Pakistan found that 8.1% have a master’s degree, 83% are graduates, and 8.1% hold an associate degree. The gender distribution is 53% female and 47% male. Most RTs work in hospitals (91.9%) as therapists (95%). The average age varies by degree, with full-time employment at 93% and most RTs having 1-4 years of experience (67.4%). Key tasks include ventilator management (91.9%) and oxygen therapy (95.3%). Challenges are low recognition (77.9%) and inadequate education (70.9%), with all RTs supporting licensing. Conclusion: RTs in Pakistan face challenges needing licensing, diverse education, and better recognition to enhance their professional landscape.