Ebike injuries are rising sharply in Australia. Sydney’s St Vincent’s Hospital says cases doubled in 2025, with 200 serious ebike-related injuries last year triggering trauma team responses. Dr Tony Grabs, the hospital’s trauma director, explained that many patients needed surgery. "You can break ribs. You can have air leaking out of your lung. You might require a big operation on the stomach," he said. Grabs warned that ebike accidents can be worse than regular bike crashes. "People riding at higher speeds who hit something stationary like a car or a wall undergo a 'de-acceleration.' The handlebars can go into the stomach or chest," he said. Head injuries are often the most serious and unpredictable. Over half of these injuries happened at night and often involved alcohol or drugs. Most riders reported speeds over 25 km/h. Many accidents were with rental or illegally modified ebikes, which can go faster than legal limits. NSW recorded 226 ebike injuries in 2024 and 233 injuries plus 4 deaths in just the first seven months of 2025. Queensland also saw 239 crashes in 2025 with four fatalities. The federal government tightened ebike rules late 2025, requiring motors to only work when pedaling and restricting speed to 25 km/h and power to 250 watts. NSW reduced its power limit from 500 to 250 watts. Dr Grabs stressed the power of ebikes: "You don’t understand the power of an ebike until you get on one." With more riders and faster bikes, hospitals warn of rising injuries and call for greater safety awareness.