Abstract The purpose of this study is to compare participation in leisure time physical activities among Canadian and Dutch individuals with a spinal cord injury (SCI). This international comparative study used cross-sectional data from Canadians with SCI (n=695) and Dutch individuals with SCI (n=429). Leisure time physical activity was measured using a selection of items from the PASIPD and the PARA-SCI. Physical activity levels were reported in MET h/day. In both countries, 50% of the participants reported no or low levels of leisure time physical activities (Canada: <0.1 MET h/day; the Netherlands: <3.1 MET h/day). While the results showed that leisure time physical activity levels tend to be higher among Dutch individuals with SCI compared to Canadians with SCI (p<.001), the results need to be interpreted with caution due to differences in terminology and questionnaires used in both countries. In this study, a unique dataset is created including information on leisure time physical activity of more than 1000 individuals with SCI in the Netherlands and Canada. The study highlights challenges and opportunities related to international comparative studies on physical activity levels among SCI. International collaborations are needed to standardize terminology and measurements for sport, leisure time physical activities and daily physical activities used in SCI research and to create an international SCI dataset on sport and physical activities.