It was produced by Italian company Balich Worldwide Shows and directed by creative director Juan Carlos Fisher.

[12] The performance was followed immediately by the Parade of Nations in which each teams marched into the stadium, preceded by a person dressed as Ekeko carrying a chicha-style banner with the name of the country, similar to Pan American Games.

All six segments told the story of two boys who grow up helping each other in the spirit of friendship and showing people their ability to overcome their disabilities.

The APC flag was carried into the stadium by former Peruvian sportsmen: Efraín Sotacuro, Alicia Flores, Yeni Vargas, Juana Hurtado, María Trujillo, Israel Hilario, Óscar Neyra and Augusto Vásquez and raised to the Paralympic Anthem by the Armed Forces.

During the torch relay segment, the Parapan American flame is carried into the stadium by Peruvian Paralympian Pompilio Falconi, who competed in athletics at Athens 2004, Beijing 2008 and London 2012.

Jose Gonzalez handed the flame to last torch bearer, Jimmy Eulert a gold medallist at the Atlanta 1996 and Sydney 2000 Summer Paralympics who lights the Incan Sun cauldron with the help of the acrobats on the totem.

The ceremony ended with a concert by Peruvian band "Bareto" who performed four songs: Quiero amanacer, Se ha muerto mi abuelo, No juegues con el diablo and Cariñito.

Through President of the Americas Paralympic Committee, Julio César Ávila, Deputy Mayor of the city of Lima Miguel Eugenio Romero Sotelo handed the APC flag over to the Undersecretary of Sports of Chile, Andres Otero Klein for the next Parapan American Games in 2023.

[22] 30 National Paralympic Committees have participated at the games including Guyana and Saint Vincent and the Grenadines as debuting teams.