<p>Sleep medicine has experienced substantial growth over the past two decades, largely driven by advances in the diagnosis and treatment of obstructive sleep apnoea. Despite these achievements, the field has evolved within a predominantly pulmonology-centred framework that does not fully capture the multidimensional nature of sleep disorders. The continued prioritization of respiratory metrics and monodisciplinary guideline development has contributed to fragmented care, particularly for patients with non-respiratory sleep conditions, and may lead to imbalances in therapeutic decision-making. Increasing evidence highlights the need for multidisciplinary models that integrate expertise from neurology, psychiatry, otolaryngology, dentistry, behavioural sleep medicine, and other related disciplines. In parallel, patient-centred approaches that incorporate patients’ experiences, preferences, and values into clinical guidelines and care pathways are essential to improve adherence, satisfaction, and outcomes. A shift toward inclusive, interdisciplinary collaboration is necessary to ensure methodological balance, personalized care, and equitable clinical practice in the evolving landscape of sleep medicine.</p>