This article discusses the management of post-acute covid-19 in primary care. It highlights that approximately 10% of people experience prolonged illness after covid-19, with many recovering spontaneously with support. Home pulse oximetry can help monitor breathlessness, and specialist assessment is needed for new or worsening symptoms. Post-acute covid-19, or long covid, is a multisystem disease that can occur after a mild illness. It is defined as lasting beyond three weeks, with chronic covid-19 lasting beyond 12 weeks. The article emphasizes a holistic approach to management, including symptom monitoring, self-management, and support for comorbidities. It also discusses the use of pulse oximetry, rehabilitation, and the importance of follow-up for patients with persistent symptoms. The article also covers the impact of covid-19 on mental health, the need for social and cultural support, and the role of primary care in managing long-term effects. It provides guidance on the management of symptoms such as cough, breathlessness, fatigue, and chest pain, as well as the importance of monitoring for cardiopulmonary complications and neurological sequelae. The article also discusses the role of rehabilitation, the importance of gradual return to activity, and the need for support for patients with long-term effects. It concludes with recommendations for future research and the importance of a patient-centered approach in managing post-acute covid-19.This article discusses the management of post-acute covid-19 in primary care. It highlights that approximately 10% of people experience prolonged illness after covid-19, with many recovering spontaneously with support. Home pulse oximetry can help monitor breathlessness, and specialist assessment is needed for new or worsening symptoms. Post-acute covid-19, or long covid, is a multisystem disease that can occur after a mild illness. It is defined as lasting beyond three weeks, with chronic covid-19 lasting beyond 12 weeks. The article emphasizes a holistic approach to management, including symptom monitoring, self-management, and support for comorbidities. It also discusses the use of pulse oximetry, rehabilitation, and the importance of follow-up for patients with persistent symptoms. The article also covers the impact of covid-19 on mental health, the need for social and cultural support, and the role of primary care in managing long-term effects. It provides guidance on the management of symptoms such as cough, breathlessness, fatigue, and chest pain, as well as the importance of monitoring for cardiopulmonary complications and neurological sequelae. The article also discusses the role of rehabilitation, the importance of gradual return to activity, and the need for support for patients with long-term effects. It concludes with recommendations for future research and the importance of a patient-centered approach in managing post-acute covid-19.