People suffering from COPD commonly experience exacerbations leading to hospital admissions. mHealth technologies holds a potential for improved healthcare delivery to this group, with a possible impact on preventing COPD exacerbations. Designing appropriate technology and services for people with COPD requires an in-depth understanding of their needs, values and life situation. Co-design is an approach where users are actively involved in the design process, with democratic participation and empowerment at its center. We involved COPD patients in exploring their perspective on how mHealth technology and appurtenant healthcare services could support them. By the use of generative tools, we identified central aspects that the participants experienced to be of importance related to their health condition and disease. We here report on the main findings using this approach and on reflections on the process.