Guidelines on managing chronic suppurative lung disease (CSLD) and bronchiectasis (unrelated to cystic fi brosis [CF]) in Australian Indigenous children initiated in 2002 were extended to include Indigenous adults in 2008 and children and adults living in urban areas of Australia and New Zealand in 2010. Here, we present an updated guideline relevant for all sections of the community. The recommendations in this guideline are targeted principally to primary and secondary care, and are not intended for individualised specialist care. As with all guidelines, they are not a substitute for sound clinical judgement, particularly when investigating and treating such a phenotypically heterogeneous condition as bronchiectasis.