In this chapter, we explore the future of occupational therapy in the Philippines. We begin by revisiting ideas from the previous chapters about occupation (gawain), clients, and occupational therapy. Next, we identify and describe issues and gaps in education, practice, and research that need to be addressed. Finally, we present a vision for occupational therapy in the Philippines. This vision outlines a framework that serves as a call to action for practitioners, educators, advocates, researchers, and leaders to collaborate in building a dynamic and sustainable future for occupational therapy in the Philippines.