This editorial highlights the need for individuals to take responsibility to reduce road traffic accidents. It highlights the fact that excessive speeding contributes to approximately 40% of fatal accidents. Drinking while under the influence of alcohol also is a significant factor, with drunk drivers killing between 750 and 800 people in the last five years. Although wearing seat belts can save lives and reduce injuries, in Ireland only 57% of front seat passengers combined wear them. Only 20% of rear seat passengers wear a seat belt. All of these are personal choices, which if taken could easily reduce the number of injuries and fatalities on Ireland's roads each year.