Transplantation is a life-saving intervention, but it represents only the beginning of a lifelong recovery journey. Long-term outcomes depend not only on graft survival and immunosuppression management, but also on physical activity, mental wellbeing, medication adherence, and sustained engagement with healthcare. While some transplant recipients progress to endurance sport and international competition, many others face ongoing challenges including reduced endurance, fatigue, frailty, and uncertainty about safe activity levels. These factors can limit confidence and discourage physical movement, even when clinical recovery is stable. Yet physical activity — at any level — plays a critical role in long-term transplant outcomes. Regular movement is associated with improved cardiovascular health, reduced metabolic risk, enhanced mental wellbeing, and stronger engagement with follow-up care. Despite these benefits, structured guidance around post-transplant activity remains inconsistent globally, and many patients report uncertainty about how to safely rebuild strength and confidence. This session brings together perspectives from the World Transplant Games Federation (WTGF) — including patient leaders, transplant recipients with different recovery experiences, and clinical expertise — to explore how movement can be encouraged across the full spectrum of ability. Rather than focusing solely on elite athletic achievement, the session will highlight how accessible, adaptable movement can support recovery for all transplant recipients, from gentle daily activity to structured sport.

By the end of this session, attendees will: • Understand why physical activity is an important component of long-term transplant recovery and health outcomes. • Recognise common psychological and physical barriers to activity following transplantation, including fear of harming the graft, fatigue, and reduced endurance. • Explore how physical activity can be adapted for recipients with limited endurance or physical limitations. • Learn how peer support, goal setting, and community engagement influence confidence, adherence, and long-term wellbeing. • Identify practical strategies clinicians can use to encourage safe, realistic activity progression for transplant recipients.