ABSTRACT: Post-acute COVID-19 patients are at risk of long-term functional impairment and the rehabilitation community is calling for action preparing for a``tsunami of rehabilitation needs"in this patient population . In the absence of standard guidelines and local evidence, we successfully delivered a three-week pulmonary tele-rehabilitation programme to a post-acute severe COVID-19 patient in Malawi. The patient suffered from persistent dyspnoea and fatigue, with a remarkable impact on his health status . On the final assessment, all his respiratory severity scores had fallen by more than their thresholds for clinical significance . He reported no continued or new complaints, was walking longer distances, had returned to work, and was discharged from follow-up . Our case shows that an improvised pulmonary tele-rehabilitation programme for post-acute COVID-19 patients could be feasible and acceptable in a low-resource setting . Benefits include reducing risk of transmission and use of personal protective equipment.