Most lost fishing gear is made of non-biodegradable plastics that may sink to the sea floor or drift around in currents. It may remain unnoticed until it shows up on coral reefs, beaches and in other coastal habitats. Stony corals have fragile skeletons and soft tissues that can easily become damaged when they get in contact with lost fishing gear. During a dive survey around Koh Tao, a small island in the Gulf of Thailand, the impact of lost fishing gear (nets, ropes, cages, lines) was studied on corals representing six different growth forms: branching, encrusting, foliaceous, free-living, laminar, and massive. Most gear (>95%) contained plastic. Besides absence of damage (ND), three categories of coral damage were assessed: fresh tissue loss (FTL), tissue loss with algal growth (TLAG), and fragmentation (FR). The position of the corals in relation to the fishing gear was recorded as either growing underneath (Un) or on top (On), whereas corals adjacent to the gear (Ad) were used as controls. Nets formed the dominant type of lost gear, followed by ropes, lines and cages, respectively. Branching corals were most commonly found in contact with the gear and also around it. Tubastraea micranthus was the most commonly encountered coral species, either Un, On, or Ad. Corals underneath gear showed most damage, which predominantly consisted of tissue loss. Fragmentation was less common than expected, which may be related to the low fragility of T. micranthus as dominant branching species. Even if nets serve as substrate for corals, it is recommended to remove them from reefs, where they form a major component of the plastic pollution and cause damage to corals and other reef organisms.