Over the past 15 years, surf therapy has emerged as a growing therapeutic intervention in diverse communities around the world. Although the programs operate on the premise that surf therapy provides a range of benefits for both physical and psychological health, there is limited research evidence available to support these claims. There additionally remains a need to further develop evidence-based practices around surf therapy that support the global impact of existing and future surf therapy interventions. This research provides a scoping review of academic literature focused on surf therapy. The objectives of the research are; (1) to gain a better understanding of the global use of surf therapy and its physical, psychological and social benefits, (2) to identify intervention and research gaps related to surf therapy, (3) to provide recommendations for future surf therapy research, (4) to use the evidence to inform best practices in the field. A systematic article search of the meta-databases Google Scholar, EbscoHost, and Wiley yielded 18 studies that met the inclusion criteria. An additional search for Master’s Theses, Doctoral Dissertations, and expert search yielded 11 studies. A total of 29 studies were found to meet criteria. The data from the studies were analyzed using metasynthesis. As a result, the review provides an overview of the current scientific evidence related to surf therapy, including its physical, psychological, and social benefits. It additionally provides a detailed description of existing research methods and measures used to evaluate the impact of surfing as a therapeutic intervention that could inform further research designs. The study supports surf therapy as a means of improving both physical and psychosocial health outcomes and includes recommendations for improving surf therapy research and practice.