With regard to osteoporotic fractures, Switzerland is one of the high-risk countries together with Sweden and the USA. A 50-year-old Swiss woman has a 51.3% risk of suffering an osteoporotic fracture in the rest of her life. For men, the risk is significantly lower at 20.2%, but still significant . Prof. Dr. med. Marius Kränzlin, Basel, gave an overview of the current recommendations on the diagnosis and treatment of osteoporosis at this year’s annual meeting of the SGIM.