Over the years, water skiing has been adapted so that physically challenged athletes can also participate. Tournaments have a number of events which include slalom, tricks and jumping for blind or partially blind athletes, multiplegics, amputees and athletes with various disabilities in the legs or arms. Amputees and those with disabilities of the arms or legs use the same equipment able bodied athletes use but have the option of a prosthesis.
Blind athletes do not use any special equipment but are under the guidance of another skier in the jumping events. In the slalom event, they are guided by audible signals as opposed to buoys.
Sit skis are special skis for use by multiplegic athletes. The sit ski has a cage that similar to those used in snow skiing.