<p>Manual medicine in Ukraine has undergone significant development since the post-Soviet transition. It is primarily based on functional biomechanical concepts complemented by modern mobilization and soft tissue techniques. Certified postgraduate training is officially recognized and offered by national professional associations, medical universities, and private institutes. Manual medicine is widely used in neurology, orthopedics, and rehabilitation medicine, and its relevance is increasing due to the growing demand for musculoskeletal rehabilitation. Despite regional disparities, organizational challenges, and the impact of the current war, the field shows clear potential for further growth, particularly through standardized curricula, quality assurance, and international collaboration.</p>