This study investigated the association between physical activity and self-perceptions such as body image, physical self-concept, and self-esteem among persons with an acquired physical disability in a non-Western population. Other personal variables such as gender and time of onset of disability were also examined. A convenience sample of 66 Hong Kong Chinese adults with an acquired physical disability were asked to complete a battery of questionnaires about their levels of physical activity and self-perceptions. Over 70% of the participants were not physically active enough to obtain health benefits. Contrary to studies focused on Western populations, the relationships between physical activity and self-perceptions were weak. The time of onset of disability, rather than activity level and gender, was more related to self-perceptions. The present study provides some evidence to advance our knowledge of self-perceptions in a non-Western population and highlights the importance of considering culture and social location in studying physical activity levels of those with an acquired physical disability.