The results of a study aimed at determining the nature, rate, and cause of traumatic surfing injuries by gathering injury data directly from surfers rather than by retrospective analysis of hospital or first-aid station records are reported. Three hundred and forty-six surfers of varying ages, experience, and competence reported 337 injuries sustained over a two-year period. The most common injuries requiring medical attention or resulting in inability to surf were lacerations (41%) and soft-tissue injuries (35%). The high incidence of back and shoulder sprains and strains has not previously been reported. As the rate of moderate and severe injuries among the sample was calculated to be 3.5 injuries per 1000 surfing days, and because more than 25% of the lacerations were caused by the sharp fin, or by the tail, or by the nose of the surfboard, some safety modifications in board design or structure may be necessary.