Long COVID is a condition characterized by persistent symptoms following the acute phase of COVID-19. While the incidence and severity of Long COVID has declined significantly over the course of the pandemic a small proportion will continue to experience this. The pathophysiology of Long COVID is not well understood but reflecting the heterogeneity in individual experiences of this syndrome, there is likely to be a wide range of different causes. Long COVID is also a product of environmental and psychological factors. Diagnosing Long COVID requires a careful assessment of the time course of symptoms in relation to SARS-CoV-2 infection, and exclusion of alternative causes. Managing Long COVID requires a holistic approach focused on supporting the patient through their recovery. There is no medication which is proven to be effective though SARS-CoV-2 vaccinations may help improve symptoms and will reduce the risk of re-infection.