Wintersports are popular activities and became in the past 20 years even more popular. The improvement of the equipment makes especially downhill skiing and snowboarding in general safer than in the past century. But due to higher speed and a trend to ride off the ski run courses, injuries itself get more severe. This can result in complex trauma and requires well trained surgeons to plan and perform therapy. The following should give an overview on the prevalence of Trauma in alpine sports and focus on basic injuries of the foot and ankle.