Behind the tremor in Parkinson’s disease lies a complex neurodegenerative process that affects far more than movement. In this conversation, we are joined by Prof. emer. Werner Poewe, neurologist and one of the world’s leading experts in Parkinson’s disease. He unpacks the evolving understanding of Parkinson’s disease, from James Parkinson’s first observations to today’s insights into pathology, prodromal symptoms, diagnosis, and treatment. With a special focus on swallowing and dysphagia, we explore what clinicians need to know to support individuals with Parkinson’s disease across all stages of the disease.