This study explored the experiences and perceptions of coaches, athletes, and integrated support teams towards the management of three Paralympic teams across North America and Europe. Six focus groups with athletes, three interviews with head coaches, and 10 interviews with support team members were conducted and analyzed using a reflexive thematic analysis. Our analysis resulted in three overarching themes to portray the coaches' role and behaviours in managing their (1) athletes, (2) integrated support teams, and (3) team as a collective unit. All teams were made up of a diverse group of athletes that required individualized considerations regarding age, finances, and disability. Coaches were successful when they fostered autonomy and managed interpersonal conflict by utilizing their integrated support teams to foster cohesiveness. This study provides an in-depth view of the role of the coach in managing national parasport teams by incorporating multiple perspectives from three teams around the world.