Swimming and aquatics involve multiple and diverse single and team disciplines. Since swimming is a non weight bearing sport and water polo is the only discipline involving tackling, direct injury is rare. Eventually it may occur in diving disciplines. Overuse and monotonous training patterns should be avoided, especially when dry training in athletes. If an injury occurs, therapy should be individually adapted to the specific pattern after appropriate classification. Overall swimming and aquatics is probably the safest sport activity available regarding foot and ankle injuries. The way towards the pool on slippery ground is the most dangerous part of leisure and competitive aquatics in respect to foot and ankle injuries.