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In 2019, the CMAHC assembled two new Ad Hoc Committees to address an emerging trend in aquatic venue design—public aquatic venues that mimic natural bodies of water. The Artificial Swimming Lagoon and Surf Venue Ad Hoc Committees were convened to study how the design, construction, operation, and management of these novel and extremely large aquatic venues could prevent illness and injury and propose change requests accordingly. This presentation will summarize the change requests; highlight proposed design, construction, operation, and management recommendations that differ greatly from recommendations for other aquatic venues; and provide the rationale for these differences. Learning Objectives: • Explain the MAHC as guidance for preventing illness and injuries related to recreational water activities • Examine the two recent CMAHC Ad Hoc committees and their proactive efforts to tackle emerging trends in aquatic venue design • Discuss how to submit Change Requests on Artificial Swimming Lagoons and Surf Venues for the 4th Edition MAHC