Since coastal tourism is one of the fastest growing sectors of tourism industry, coastal areas have become increasingly vulnerable in case of flooding. While in recent years a number of different methods have been put forward to map coastal flood risks, the implications of tourism dynamics for the assessment of human casualties has remained largely overlooked in these models. This chapter examines to what extent the ignorance of (residential) coastal tourism may bias the calculations of human casualties. To this end, a case study has been conducted on the Belgian coast. Both the dynamic nature of coastal tourism and the behaviour of residential tourists in storm surge scenarios are considered. The results of this study show that including tourism dynamics in flood risk management is justified and appropriate, depending on the tourist attractiveness of the flood-prone area and its temporal fluctuations.