In this episode of the PSATS Podcast, Paul Lombardo sits down with Derek Lawrence, Assistant Athletic Trainer for the U.S. Men’s National Team, to explore what it takes to medically prepare for a World Cup. Derek shares a behind-the-scenes look at managing player arrivals from across the globe, conducting essential screenings, and implementing recovery and performance strategies in a high-stakes tournament environment. From balancing fitness levels of fully match-fit players to those returning from injury, the conversation highlights the constant challenge of aligning individual readiness with team demands. Derek also discusses the importance of collaboration with clubs, the integration of recovery technology, and the nuanced decision-making required for return-to-play. This episode offers a practical, inside look at the complexities of elite international tournament preparation from a medical perspective.