Towed Water Sports (TWS) are popular recreational activities practiced on rivers, lakes, and sheltered bays, ranging from waterskiing and wakeboarding to kneeboarding and tubing. These sports provide a combination of physical exercise, excitement, and social connection, making them attractive for both able-bodied and disabled participants. Adaptive equipment allows individuals with various impairments to take part, from sit-skis for wheelchair users, to outrigger skis for added balance, to specialized boards for amputees or visually impaired athletes. Kneeboarding and tubing can also be adapted for people with severe dysfunctions, ensuring safety while maintaining enjoyment. Competitive adaptive water skiing includes slalom, tricks, and jumping, with specific divisions for seated, standing, and vision-impaired athletes, ensuring fair play across disability categories. Through clinics, recreational events, and tournaments, TWS empowers participants to overcome physical limitations, fostering inclusion, resilience, and shared joy on the water.