Increased awareness, recognition, and accessibility has led to an increase in the popularity of adaptive cycling. This article aims to provide up-to-date information for clinicians about available adaptations, participation options, and resources. We review the para-cycling classification system and 4 main categories of cycles. There are multiple considerations for fit and customization depending on an individual’s disability to improve efficiency and comfort. Virtual platforms that allow riders to train and compete online have grown in popularity among para-cycling communities and offer an alternative to riding outdoors. Many national and local organizations offer communities and grants to assist with adaptive equipment.