The famous starfish of Isla Saona are in critical danger due to mass tourism. **The reality:** Only 20% of the starfish from 10 years ago remain. **Main causes:** Chemical sunscreen, touching/removing from water for photos, and tour overcrowding. **How to help:** Use only mineral sunscreen (zinc), never touch starfish, maintain 2-meter distance, and choose conservation-certified operators. **Important fact:** Starfish stress and die when removed from water. **Good news:** Some local operators have created successful breeding programs. Your tour choice makes the difference between conserving or destroying this unique ecosystem.