Falls are a major health concern for older adults worldwide, not only because of the potential for fractures and head injuries, but also for the emotional toll—the fear and anxiety—that can develop as a result of an injury or close call. While the literature on fall interventions is vast, there is limited understanding about the best methods for preventing falls. The authors conducted an extensive review and analysis of relevant, rigorous research trials to assess the relative effectiveness of different types of fall interventions. Under comparison were falls risk assessment and management programs, exercise programs, environmental modification programs, and educational interventions.