Due to Wisconsin's numerous lakes and rivers, tourists and residents alike frequently participate in water-related recreation. Unfortunately, drowning is a leading cause of injury-related death, especially in children and young adults. Developmental factors place children who are less than 5 years at increased risk for drowning. Teenagers also have a higher drowning mortality rate, largely due to risk-taking behaviors in this age group. This article reviews drowning mortality trends and statistics for Wisconsin and the United States, as well as current recommendations and legislation regarding water safety. We also discuss drowning prevention strategies such as patient education and legislative efforts surrounding swimming pool and boating safety.