Capsizing and falls overboard emergencies are consistently the leading causes of boating fatalities. Overloading, shifting of loads, and passenger movement on smaller craft contribute to most of the capsizing/falls overboard accidents. Boat operators must take action to prevent themselves and their passengers from falling overboard. In addition, boat operators need to provide sufficient instruction to their passengers on how to assist in the quick recovery of persons in the water in various water conditions, water temperatures and watercraft. Procedures could include throwing them a Type IV PFD or any other immediately available floating aid. This issue highlights the need for boater education courses to stress prevention of falls overboard, wearing of PFDs/life jackets at all times, and the proper response/action in a capsizing/fall overboard emergency.