The FISU, led by director Milan Augustin, inspected the Lake Placid area in June 2017, as well as nearby town of Wilmington that was a support city for the activities of the Games.

[6] As the 2021 Winter Universiade was cancelled due to the COVID-19 pandemic in Switzerland, the formal handover to Lake Placid was instead held at a ceremony in Turin in January 2022.

In the case of Lake Placid, the choice was for the Nordic combined, as ski jumping was planned as an optional sport.

Designed by Fashion Institute of Technology student Kristina Ingerowski, it was selected following a public vote and submission process, and named after the Adirondack Mountains.

[13] In August 2022, it was announced that ESPN would hold the U.S. media rights to the Games, with coverage to be carried by ESPN2 and ESPNU.