The current academic discourse on musicians’ health and wellbeing remains dominated by pathogenic and preventive paradigms that focus on avoiding disease by reducing risk factors. Research and practice to date have highlighted the urgent need for interventions, particularly in higher music education. Existing efforts to implement health promotion strategies have not yet been consistently successful in improving musicians’ health and wellbeing. Conventional approaches often overlook the systemic and cultural contexts that shape musicians’ experiences and are focused on avoiding risk rather than promoting health. We propose a paradigm shift from an emphasis on the mechanisms of disease and ill-health (referred to as ‘pathogenesis’ or the ‘origin of disease’) to a focus on the factors that promote and sustain health, and on the resources that enable musicians to cope effectively with the specific stressors of their field (‘referred to as ‘salutogenesis’ or the ‘origin of health’). This 90-minute session will begin with a general introduction to the history of the Musicians’ Health and Wellbeing discipline and its development over time in relation to pathogenic and salutogenic paradigms and insights from parallel disciplines. This will be followed by an overview of the key principles of Salutogenesis and the associated concept of the Sense of Coherence, which describes an individual’s capacity to perceive stressors as comprehensible, manageable, and meaningful (Antonovsky, 1988; Mittelmark et al., 2022). In addition we will consider other approaches that apply this concept of moving towards flourishing rather than avoiding disease, including the Alexander Technique, Ecological Dynamics, and Behaviour Change Science. Panel members from around the world (Australia, Europe, Scandinavia, Great Britain, Singapore, and the USA) will share their experiences of applying these approaches in practice, discuss challenges they have encountered, and offer tips for applying these approaches. There will be opportunities for those attending to ask questions and share their own experiences and insights. This interdisciplinary session will be of interest to all working to support the health and wellbeing of musicians studying or working across music education disciplines and contexts, particularly those interested in learning more about new and transformative ways of working. The aim of this discussion is to move towards environments that enable musicians to thrive.