Introduction: Stroke has a serious impact on society in the form of severe disability, death, and significant economic, social, and emotional consequences. Doctors in primary care and family-centered care as the first line in the health system have a role in the prevention, treatment, and long-term care of stroke cases. A comprehensive search was conducted using biomedical databases to identify relevant research regarding the role of primary care physicians in long-term stroke management particularly in family medicine practice. The keywords used in our search through the database were “Family Medicine” or “Family Physician” and “Stroke Management” or “Long Term Stroke Management”. Family-centered approach to stroke management which includes prevention, early intervention, managing risk factors, rehabilitation, and long-term care. Through this approach, risk factors for stroke in the family can be identified, provide education about stroke symptoms, and contribute to creating an environment that supports optimal patient recovery. By involving a family-centered care in the treatment plan, the quality of life of post-stroke patients can be improved, thereby reducing the risk of recurrence.. In the long-term care of post-stroke patients, family doctors are responsible for providing spasticity management, preventing subsequent strokes and managing early complications, educating families and caregivers, and managing the patient's quality of life. Family physicians play a central role in long-term stroke management to ensure holistic and sustainable care for stroke patients in the community.