This chapter explores renal trauma associated with winter sports injuries, highlighting its prevalence and mechanisms of injury in a high-risk region. Renal trauma, accounting for 10% of all abdominal injuries, is predominantly caused by blunt force, particularly in winter sports activities like skiing and snowboarding. Analysis of cases at Salzburg University Hospital revealed that 53.3% of blunt renal trauma cases were linked to winter sports, with skiers comprising the majority. The chapter compares the injury patterns and severity between skiers and snowboarders, noting that snowboarders are more prone to high-grade renal trauma. The findings suggest that while winter sports carry significant risks, sports-related renal trauma often occurs without concomitant injuries and tends to be less severe than trauma from other causes, such as traffic accidents. The chapter also discusses the importance of non-operative management in treating renal trauma, emphasizing that surgical intervention is typically reserved for severe cases. These insights are crucial for understanding the unique risks associated with winter sports and improving the management of renal injuries in such settings.