Countries in the Global South are marginalized in the international parasport space. While international aid has contributed to the development of parasport in the Global South, the aid was often given without clear evidence of local needs. The purpose of this study was to identify the needs related to parasport development in the Lao People’s Democratic Republic based on the lived experience of parasport stakeholders. As such, this paper is highly original and provides a detailed examination of a significant yet underexplored area. A total of 14 parasport stakeholders participated in the study. Semi-structured interviews were conducted with seven para-athletes, six parasport coaches, and one administrator. Transcribed interview data were analyzed with Thematic Analysis. The findings demonstrated the tangible need for parasport equipment and standardized facilities. Although less tangible, the need for a parasport coach training system was evident for parasport development. Perhaps more latent but equally important was the need for inclusive employment, as para-athletes require an income to continue training and competing. The findings indicate that parasport development cannot be achieved by sports policy alone. There is a need for greater focus on developing a more inclusive society, which suggests the need for inter-ministerial collaborations to develop parasport.