text: The Conundrum of Long COVID 19 A Narrative Review COVID 19 is an ongoing pandemic with many challenges that are now extending to its intriguing long term sequel Long COVID 19 is a term given to the lingering or protracted illness that patients of COVID 19 continue to experience even in their post recovery phase It is also being called post acute COVID 19 ongoing symptomatic COVID 19 chronic COVID 19 post COVID 19 syndrome and long haul COVID 19 Fatigue dyspnea cough headache brain fog anosmia and dysgeusia are common symptoms seen in Long COVID 19 but more varied and debilitating injuries involving pulmonary cardiovascular cutaneous musculoskeletal and neuropsychiatric systems are also being reported With the data on Long COVID 19 still emerging the present review aims to highlight its epidemiology protean clinical manifestations risk predictors and management strategies With the re emergence of new waves of SARS CoV 2 infection Long COVID 19 is expected to produce another public health crisis on the heels of current pandemic Thus it becomes imperative to emphasize this condition and disseminate its awareness to medical professionals patients the public and policymakers alike to prepare and augment health care facilities for continued surveillance of these patients Further research comprising cataloging of symptoms longer ranging observational studies and clinical trials are necessary to evaluate long term consequences of COVID 19 and it warrants setting up of dedicated post COVID care multi disciplinary clinics and rehabilitation centers 