Most doctors believe that water sports are save and harmless concerning foot and ankle injuries. However, analyzing injury patterns in Windsurf, Kitesurf and wave surf, foot and ankle injuries rate within the most frequent. Collision with the board, obstacles in the water close to the beach and rotation trauma with the foot fixed in foot straps and bindings are the causes. Superficial wounds may cause dangerous infections especially in tropical water. Midfoot injuries tend to be overlooked and may cause painful chronic instability and arthritis. Surfers must be instructed in self-management of open wounds. Lisfranc joint Subluxation and subtalar injuries must be excluded after a fall with the foot caught in the foot strap.