The assessment of fall risk and the implementation of multifactorial but individualised fall prevention strategies can promote positive aging in a significantly large proportion of our population. This chapter explores the complexity of the causes of falls, the importance of thorough falls risk assessment and some of the multifactorial approaches to minimising falls. The chapter highlights a number of interventions that can be used to help minimise the risk of falling and to promote positive aging, but in isolation they are unlikely to be effective. A thorough assessment and a multifactorial but individualised approach to falls prevention is the most effective way to support people in living positively into their old age. In many instances, the reason someone has fallen might be unclear but in most instances falls are the result of a complex combination of intrinsic and extrinsic factors.