Health NGOs and patient groups representing people whose diseases are caused, exacerbated or worsened by smoking or exposure to tobacco smoke have a key role to play in tobacco control and advocacy, as well as a responsibility to do so. Their participation, advocacy and educational activities, such as patient education, peer support and help-line programmes are based on evidence on the impact of tobacco use. They bring the citizen's and patients' perspective, human face and impact on everyday life that tobacco continues to have in our societies. EFA, European Federation of Allergy and Airways Diseases Patients Associations and its national members take European responsibility in inserting patient perspective in tobacco control at European and national levels, in synergy with the health NGO coalition.