Higher or more specialized levels of cancer rehabilitation along the stepped-care continuum require care from clinicians with some degree of specialization in cancer rehabilitation. The most prevalent need at this level is for general conditioning among survivors of cancer who lack specific cancer- or cancer treatment–related impairments but have sufficient vulnerability to warrant specialist oversight. Survivors of cancer frequently have or are at risk for conditions potentially exacerbated byexercise. Theoretically, these individuals should have a rehabilitation team with at leastone cancer rehabilitation specialist,althoughempirical validation of this need is lacking. Psychosocial counseling to address barriers to participation or self-management strategies may be needed. Research has established the beneficial and safe nature of resistive training when conducted under the close supervision of exercise professionals trained in lymphedema and other cancer treatment–related risks.Insomeclinicalsettings,theremaynotbetherapists with specific cancer rehabilitation training. In these cases, a rehabilitation savvy oncologist or cancer rehabilitation physicianmayprovidegenerallytrainedtherapistswithadetailed physical or occupational therapy prescription with clear precautions. They also may serve as a resource for these noncancer trained treating professionals.