Many “extreme sports,” such as skateboarding, snowboarding, and wakeboarding, are known for different mental and physical health benefits. The objective of this review article is to summarize the distinctive health benefits provided by the extreme sport of surfing. Peer-reviewed journals regarding surfing’s health benefits were reviewed in terms of physical benefits, mental benefits, the impact surfing can have on individuals with disabilities, and the effects of outdoor vs. indoor exercise. The results showed increased cardiovascular and muscular fitness related to surfing, improvement in the mental-wellbeing of “at risk” young adults and veterans suffering from Post-Traumatic Stress Disorder (PTSD), significant health benefits for individuals with disabilities, and more positive mood from outdoor vs. indoor exercise. While these positive outcomes are promising, studies focusing on the health effects of surfing are limited, and the methodologies lack rigor. Thus, more studies utilizing sophisticated research designs could greatly expand our understanding of the ways surfing can enhance health and wellbeing in a wide range of individuals.