Resumen: The professionalization of futsal requires greater physical demands on players, requiring strength and conditioning coaches to manage loads, optimize performance, and prevent injuries. This study aimed to describe the current practices of high-level strength and conditioning coaches and determine the elements needed to optimize their performance. Two video-recorded focus groups consisting of eight strength and conditioning coaches from the Spanish futsal league’s first and second divisions were transcribed, translated, and analyzed using a content analysis approach with open-ended questions on physical preparation and current practices. Results showed that strength and conditioning coaches prioritized five main areas: (1) competitive demands, (2) training load control and monitoring, (3) injury risk mitigation strategies, (4) contextual factors and interpersonal relationships, and (5) training methodologies to optimize performance. However, they also claim to deal with several limitations such as lack of time, limited resources and access to facilities, insufficient staff, problems related to combining sport with other activities (e.g., work), or the difficulty to individualize, which limits the optimization of their practices. Based on these findings, practical applications include implementing neuromuscular and strength training sessions at least twice a week, using cost-effective load monitoring tools (e.g., RPE and wellness questionnaires) to manage workloads, individualizing training programs to address the specific demands and characteristics of each player, and fostering close multidisciplinary collaboration to optimize performance and reduce injury risks. These insights can guide current and aspiring strength and conditioning coaches toward optimized practices. This study can assist novice strength and conditioning coaches in identifying the key focus areas of elite physical trainers and understanding their challenges and limitations, fostering collaboration among sports professionals to create a more optimized environment. Idioma: Inglés DOI: 10.3390/sports13040126 Año: 2025 Publicado en: Sports 13, 4 (2025), 126 [20 pp.] ISSN: 2075-4663 Tipo y forma: Artículo (Versión definitiva) Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería) Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)