text: Long COVID 19 Syndrome A Comprehensive Review of Its Effect on Various Organ Systems and Recommendation on Rehabilitation Plans The majority of people infected with SARS CoV 2 fully recovered within a few weeks However a considerable number of patients of different ages still suffer from long lasting problems similar to the multi organ damage in its acute phase of infection or experience symptoms continuously for a longer term after the recovery The severity of the primary infection seems not to be associated with the possibility and severity of long term symptoms Various unresolved symptoms have been reported in COVID 19 survivors months after hospital discharge Long COVID 19 Syndrome refers to survivors 4 months after initial symptoms onset It is important to understand the systemic effects of Long COVID 19 Syndrome its presentations and the need for rehabilitations to restore functional recovery in survivors Government healthcare workers and survivor groups should collaborate to establish a self sustaining system to facilitate follow up and rehabilitations with prioritization of resources to more severely Long COVID 19 Syndrome survivors This review looks into the systemic effects of Long COVID 19 Syndrome in various aspects respiratory cardiovascular hematological renal gastrointestinal neurological and metabolic effects of Long COVID 19 Syndromes Recommendations for follow up and rehabilitations details have been explored to cope with the tremendous Long COVID 19 Syndrome patients 