text: Post acute COVID 19 syndrome Severe acute respiratory syndrome coronavirus 2 SARS CoV 2 is the pathogen responsible for the coronavirus disease 2019 COVID 19 pandemic which has resulted in global healthcare crises and strained health resources As the population of patients recovering from COVID 19 grows it is paramount to establish an understanding of the healthcare issues surrounding them COVID 19 is now recognized as a multi organ disease with a broad spectrum of manifestations Similarly to post acute viral syndromes described in survivors of other virulent coronavirus epidemics there are increasing reports of persistent and prolonged effects after acute COVID 19 Patient advocacy groups many members of which identify themselves as long haulers have helped contribute to the recognition of post acute COVID 19 a syndrome characterized by persistent symptoms and or delayed or long term complications beyond 4 weeks from the onset of symptoms Here we provide a comprehensive review of the current literature on post acute COVID 19 its pathophysiology and its organ specific sequelae Finally we discuss relevant considerations for the multidisciplinary care of COVID 19 survivors and propose a framework for the identification of those at high risk for post acute COVID 19 and their coordinated management through dedicated COVID 19 clinics 