What Every Surfer Should Know Before the Trip of a Lifetime
A trip to the Mentawai Islands is a dream for surfers around the world. This remote archipelago offers an incredible concentration of world-class waves spread across multiple islands, far from crowds and modern civilization, all surrounded by pristine tropical nature and warm water year-round.
But as with any remote destination, adventure comes with risk. In a place so far from major medical centers and with limited resources, even a minor accident can quickly become serious.
At Hidden Bay Resort, safety is a top priority. With more than 12 years of experience operating in the Mentawais, we have implemented and standardized a wide range of safety measures to minimize risks and ensure our guests are well supported at all times.
All of our boats are equipped with radio communication systems and first-aid kits. We maintain a well-stocked pharmacy for common illnesses, proper septic systems, and conduct monthly clean-ups of our bay and beach to keep the environment clean and safe. We also maintain contact with a dedicated speedboat for rapid evacuation in case of serious emergencies. In addition, travel insurance is mandatory for all guests. It is a small cost that can make a critical difference in an emergency situation.
Our goal is simple: to provide the safest possible environment so you can focus on what you came for, unforgettable waves and an unforgettable experience.
Below, we’ve compiled essential information about the most common accidents that can occur in the Mentawai Islands, along with basic first-response procedures. We strongly recommend keeping this information in mind during your stay.
Common Surf-Related Injuries and What to Do First
1. Jellyfish
Characteristics:
Jellyfish are common in the Mentawais and vary widely by species. Some cause mild skin irritation, while others, such as the Portuguese man o’ war, recognizable by its bright blue color, can deliver extremely painful stings. In rare cases, especially for people with allergies, stings may cause breathing difficulties.
What to do:
- Do not rub the affected area, as this can release more venom.
- Rinse with seawater or vinegar. Never use fresh water.
- Gently shake the affected area in seawater to dislodge stingers.
- Carefully remove remaining stingers with a stick or toothpick.
2. Sea Urchins
Characteristics:
Sea urchins are round marine animals covered in sharp, venomous spines. They are commonly found around reefs and rocks, making them a frequent hazard for surfers.
What to do:
- Soak the affected area in hot water for about 30 minutes.
- Once the skin softens, carefully remove spines using tweezers or a sterile needle.
3. Stingrays
Characteristics:
Stingrays often bury themselves in sandy areas. When stepped on, they may sting with a venomous barb that causes intense pain and tissue damage.
What to do:
- Immerse the wound in hot water to help neutralize the venom.
- Gently clean with saltwater.
- Do not attempt to remove the barb yourself.
- Seek immediate medical attention.
4. Stonefish
Characteristics:
Stonefish are extremely well camouflaged and among the most venomous fish in the world. Stepping on one can cause severe pain, breathing problems, heart issues, and in rare cases, death.
What to do:
- Exit the water immediately.
- Immerse the affected area in hot water (about 113°F / 45°C) for 20 minutes.
- Repeat as needed.
- Severe cases require antivenom and urgent medical care.
5. Lionfish (Zebra Fish)
Characteristics:
Lionfish have long venomous spines and typically hide among reefs during the day. While stings are extremely painful, they are rarely fatal.
What to do:
- Carefully remove spines with gloves and tweezers.
- Wash with soap and water.
- Soak in hot water for 10 to 20 minutes.
- Check that your tetanus vaccination is up to date.
6. Blue-Ringed Octopus
Characteristics:
This small octopus carries a powerful neurotoxin capable of causing paralysis. While encounters are rare, it is one of the most dangerous marine animals in Indonesia.
What to do:
- There is no antidote.
- Apply pressure to the wound.
- If breathing becomes impaired, provide artificial respiration and CPR until help arrives.
- Survivors who receive timely care usually recover fully.
7. Coral Cuts
Characteristics:
Reef breaks are common in the Mentawais, making coral cuts a frequent injury. While often minor, they can become infected if not treated properly.
What to do:
- Disinfect immediately. Some surfers use lime, though medical opinions vary.
- Wash thoroughly with soap and water and scrub to remove debris.
- Clean with a hydrogen peroxide solution, then apply Betadine and antibiotic ointment.
- Change dressings twice daily and keep wounds covered when surfing.
8. Needlefish
Characteristics:
Needlefish are fast-moving predators that may leap out of the water while hunting. Though not aggressive, they can cause deep cuts with their sharp beaks.
What to do:
- Use your surfboard as a shield if needlefish are jumping nearby.
- If injured, stop bleeding immediately and seek medical assistance.
Other Potential Hazards
Snake Bites
The severity of a snake bite depends on the species, bite location, and the victim’s condition.
Temple Viper (Hemotoxic venom):
- Intense pain, swelling, bruising
- Numbness, weakness, vomiting
- Bleeding disorders
Equatorial Spitting Cobra (Neurotoxic venom):
- Little pain or visible marks
- Numbness, drooping eyelids
- Difficulty swallowing and breathing
First Aid for Snake Bites:
- Stay calm and move away from the snake.
- Immobilize the affected limb below heart level.
- Treat for shock and keep the person warm.
- Remove tight clothing or jewelry.
- Apply a firm band above and below the bite.
- Do not wash the bite unless identification is necessary.
- Seek medical help immediately.
Vaccinations and Preventive Health
Mandatory
- Yellow Fever (for travelers arriving from certain countries)
Recommended for Southeast Asia
- Diphtheria, Tetanus, Polio (DTP)
- Hepatitis A and B
- Measles, Mumps, Rubella (MMR)
- Rabies (long-term stays)
- Typhoid (rural travel)
Mosquito-Borne Diseases
- Dengue Fever: No specific treatment. Prevention is key.
- Chikungunya: Similar symptoms to dengue.
- Malaria: Risk is low in resort areas but higher in rural regions. Preventive medication may be advised.
Filariasis
Common among locals but rare in travelers. Prevention focuses on avoiding mosquito bites.
Important Health Considerations
Hepatitis A
A food- and water-borne virus affecting the liver. Vaccination is strongly recommended for all travelers to Indonesia.
Hepatitis B
Spread through bodily fluids and preventable by vaccination. Long-term effects can be severe.
Hepatitis E
Similar to Hepatitis A but more dangerous for pregnant women. No vaccine exists.
HIV
Indonesia has a rapidly growing HIV epidemic. Travelers should exercise caution and take preventive measures.
Japanese Encephalitis
Rare in travelers but serious. Vaccination is recommended for stays longer than one month in rural areas.
Final Thoughts
The Mentawai Islands are an extraordinary destination, but preparation is essential. At Hidden Bay Resort, we are committed to providing not only world-class waves, but also peace of mind, so you can surf, explore, and relax safely.
If you have any questions about safety, health, or travel preparation, our team is always here to help.
See you in the lineup.

