MG has an annual incidence of 10 per million people. Females are more often diagnosed before age fifty and males after age fifty. Typical presentations involve fluctuating weakness and fatigability, usually affecting the eyes (ptosis and diplopia) and proximal muscles. Diagnosis is based upon history and exam, and supported by antibodies for acetylcholine receptor and muscle-specific kinase, and EMG studies. Atypical cases of MG may lead to delayed diagnosis. We found reports of MG presenting as recurrent falls in the elderly, but no reports of recurrent falls being the presenting symptom in the young. The patient is a 31-year-old male with no medical history who presented after falling down stairs. He reported recurrent falls for six months, characterized by dizziness, blurry vision, then going “limp,” collapsing to the ground without loss of consciousness. He endorsed episodes of generalized weakness and diplopia, which typically occurred after exertion and could persist for days. Weakness required long periods of rest to resolve. He denied palpitations and seizure stigmata. On exam, there were no focal deficits; he did not have ptosis, dysconjugate gaze, or diplopia, and motor strength was 5/5 in all muscle groups without fatigability. Previous cardiac workup was unremarkable.