Exercise is one of the most powerful tools we have to improve health, yet it’s often underemphasized, poorly prescribed, or dismissed by patients as unrealistic. This chapter provides a clear, evidence-based approach to counseling patients on physical activity—focused on consistency, accessibility, and long-term sustainability. Rather than promoting rigid routines or athletic ideals, it emphasizes helping patients move more in ways that make sense for their lives. Using motivational interviewing and practical advice, clinicians can empower patients to integrate movement into daily life.