"It Only Hurts When I'm Breathing" is a song recorded by Canadian singer Shania Twain. It was written by Twain and her then-husband Robert John "Mutt" Lange. It was released on February 9, 2004, as the eighth and final single from her fourth studio album Up!. Disparate to the remainder of Up!, "It Only Hurts when I'm Breathing" is a ballad that Twain labeled to be the sole heartbreak song on the album. Musically, it lies within the country pop genre while its lyrics speak of misery. The song was not included in any of Twain's tours, but she performed the song for the Up! Live in Chicago video special in 2003. The performance was also used as a promotional music video for the single.