Family history and genetic factors play a significant role in idiopathic pulmonary fibrosis. Mutations in genes related to surfactant production and telomere maintenance have been implicated. Environmental and occupational exposures to dust, metal, wood, and certain farming chemicals may increase the risk. Cigarette smoking is a well-established risk factor. Comorbid conditions such as gastroesophageal reflux disease (GERD), chronic viral infections, and other comorbidities may be associated with an increased risk of developing idiopathic pulmoary fibrosis. Idiopathic pulmonary fibrosisis associated with high mortality rates. The median survival after diagnosis is typically 3-5 years, though this can vary widely. Most deaths in idiopathic pulmonary fibrosis patients are due to respiratory failure, acute exacerbations, pulmonary infections, or comorbid conditions such as cardiovascular disease and lung cancer.