In performance-based navigation (PBN) procedures with barometric vertical guidance, the effective vertical path angle (VPA) depends on the actual air temperature at the time of approach execution. A very low design temperature could result in an obstacle clearance height (OCH) higher than needed; hence, the airport throughput could be reduced when the cloud ceiling is below the OCH. Conversely, the design of a low temperature higher than is practical could lead to long periods in which the procedure cannot be used. The results of this research show that there is not much difference between the effective VPA for the different low temperatures studied. However, this slight difference, when obstacles penetrating the final approach surface (FAS) exist, usually leads to the approach minima being significantly different from each other. The objective of this study was to analyse the impact of the selected designed low temperatures in PBN procedures with barometric vertical guidance on the OCH/runway throughput and approach periods of use balance. Finally, guidelines on the selection of the minimum designed low temperature are proposed.