The article provides the results, as well as policy and practice implications of an exploratory study on the feasibility and unique (unintended) benefits of surf therapy for children with Autism Spectrum Disorder (ASD), in a developing world context. The main aim of the study was to understand if and how Waves for Change (W4C), a South-African-based non-government organisation’s existing surf therapy programme for neuro-typical children can be adapted to be more inclusive and meet the needs of neuro-diverse children. The objective of the study was two-fold: 1) to gain an in-depth understanding of children’s experiences participating in surf therapy, with specific reference to confidence and self-identity; peer and adult relationships and connectedness; and communication initiation and verbal output; and 2) to understand if and how the existing W4C surf therapy model (designed with and for neuro-typical children) can be offered to a more diverse target population. The study found that children with ASD’s experiences at W4C’s surf therapy programme were predominantly positive and surf therapy can have a positive effect on children with ASD’s overall wellbeing. The research produced several suggestions for adaptations to the original W4C surf therapy programme, to be more appropriate and effective for neuro-diverse children and more specifically children with ASD.