text: Epidemiology and organ specific sequelae of post acute COVID19 A narrative review Long COVID a term coined by COVID 19 survivors describes persistent or new symptoms in a subset of patients who have recovered from acute illness Globally the population of people infected with SARS CoV 2 continues to expand rapidly necessitating the need for a more thorough understanding of the array of potential sequelae of COVID 19 The multisystemic aspects of acute COVID 19 have been the subject of intense investigation but the long term complications remain poorly understood Emerging data from lay press social media commentaries and emerging scientific reports suggest that some COVID 19 survivors experience organ impairment and or debilitating chronic symptoms at times protean in nature which impact their quality of life In this review by addressing separately each body system we describe the pleiotropic manifestations reported post COVID 19 their putative pathophysiology and risk factors and attempt to offer guidance regarding work up follow up and management strategies Long term sequelae involve all systems with a negative impact on mental health well being and quality of life while a subset of patients report debilitating chronic fatigue with or without other fluctuating or persistent symptoms such as pain or cognitive dysfunction Although the pathogenesis is unclear residual damage from acute infection persistent immune activation mental factors or unmasking of underlying co morbidities are considered as drivers Comparing long COVID with other post viral chronic syndromes may help to contextualize the complex somatic and emotional sequalae of acute COVID 19 The pace of recovery of different aspects of the syndrome remains unclear as the pandemic began only a year ago Early recognition of long term effects and thorough follow up through dedicated multidisciplinary outpatient clinics with a carefully integrated research agenda are essential for treating COVID 19 survivors holistically 