What does 'how do you do' mean and do people still say it?

What it means: A very formal British greeting said upon being introduced to someone for the first time. Despite looking like a question, it doesn't ask about your health — it's purely ceremonial.

The correct response: "How do you do?" — you say it back. Not "fine, thanks" or "very well." Literally responding to the question with the same question. This is what makes it distinctive and slightly confusing.

Do people still say it? Rarely, and mainly in formal or older contexts — formal business introductions, certain social circles, or people of an older generation. In everyday British English, "pleased to meet you" or "nice to meet you" has mostly replaced it.

The irony: "How do you do" has become slightly self-aware. Younger British speakers sometimes say it with a knowing, slightly theatrical quality — they know it sounds formal and old-fashioned, and they say it anyway.

Register: Very formal, traditional British English. Rare in modern casual settings.

Tags: British English, greetings, formal English, traditional