Adventure tourism not only puts an individual at risk but often endangers others in communities and can pose threats to the environment. It can also be a force for good when done with respect for people and the planet.

Adventure tourism involves an inherent level of risk, but statistically, it is far safer than most people perceive, provided it is done through licensed operators. The "risk" is often categorized as either perceived (the thrill of heights or speed) or real (the danger of equipment failure or weather changes). According to industry data, the injury rates for popular activities like zip-lining or guided trekking are extremely low compared to everyday activities like driving. However, "extreme" adventure sports like unsupported mountaineering, BASE jumping, or cave diving carry significantly higher mortality rates. The key to mitigating risk is "Safety Management Systems" (SMS); reputable companies use standardized gear and rigorous guide training to turn a "risky" activity into a controlled adventure. For most travelers, the biggest real risk is not the activity itself, but failing to have travel insurance that specifically covers "adventure activities," which are often excluded from standard policies.