Falls are common in older adults. Falls are the number one cause of injury and death in the geriatric population. Fortunately, falls can be prevented. When evaluating falls acute triggers of falls should be distinguished from chronic predisposing factors. Syncopal/pre-syncopal episodes comprise the minority of falls causes. Gait and balance deficits are the most important culprits contributing to falls. Exercise is the only single intervention shown to prevent falls in older adults. Multicomponent medical and biomechanical interventions should be utilized to successfully treat falls.