This capstone captures the occupational therapy perspective of rock climbing injury assessment and treatment. Synthesis of the present research suggests that climbers experience multi-dimensional trauma, although the current therapeutic approach restricts itself to the medical model. To increase the representation and application of occupational therapy’s core constructs concerning this topis, one must understand the profession’s unique value. As guided by principles set through the American Occupational Therapy Association, occupational therapy comprehensively seeks to maximize a client’s quality of life. It is facilitation of occupational engagement through holistic measures that defines occupational therapy’s significance to the interdisciplinary team. As applied to the injured rock climber, occupational therapy can effectively address the upper extremity injuries that are prevalent in this sport. The profession can also attend to the psychosocial concerns that arise with the loss of meaningful occupation and the current gaps in identifying and treating impaired activities of daily living. This capstone explores occupational therapy’s role beyond post-injury musculoskeletal treatment in the pursuit of providing evidence-based and truly individualized care.