Although traditionally seen as a sport for elite schools and colleges, rowing is a founding Olympic event and is increasingly enjoyed by people of all ages and abilities. The sport's rapidly changing demographics shows significant growth in masters (age 27 years and above) and para-rowing populations. It has further expanded beyond its traditional flatwater format to include the discipline of open-water or coastal rowing, and an increased focus on indoor rowing. Rowing-specific injury research has similarly increased over the last decade since our last review, revealing areas of improved understanding in pre-participation screening, training load, emerging concepts surrounding back and rib injury, and relative energy deficiency in sport. Through a better understanding of the nature of the sport and mechanisms of injury, physicians and other healthcare providers will be better equipped to treat and prevent injuries in rowers.