This session provides health and fitness professionals with a greater knowledge and understanding of how to work with clients with metabolic syndrome, who may have health complications that must be managed during structured exercise training. Considering that the prevalence of metabolic syndrome is systematically increasing worldwide, personal trainers and exercise physiologists working in a real-world gym setting need to address several physiological and psychological factors associated with this health condition. Thus, simple assessments, smart warm-up drills, fitness games, partner exercises, progressions and modifications for all primal movements, coaching and cueing techniques will be presented aiming to blend science and application through an interactive case study.