The United States lifted their first team title on the final day of the International Surfing Association (ISA) World Adaptive Surfing Championships in San Diego.
The hosts won after collecting one gold medal and three silvers on the final day of action at La Jolla Shores.
Alana Nichols finished top of the podium in the women's AS-3 division, scoring 12.83 points.
Sarah Bettencourt scored 7.16 points in the women's AS-4 to get silver behind Hawaii's Ann Yoshida on 7.3, with England's Suzanne Edwards finishing third on 4.73.
Christian Bailey then got 7.67 points in the men's AS-4 division to finish second behind Denmark's Bruno Hansen.
Massimilio Mattei of Italy secured the bronze medal in the event with 5.1 points.
That victory was Hansen's fourth successive gold in the AS-4 division, making him the first individual adaptive surfer in the world with four world titles.
Jeff Munson completed America's medal tally by winning silver in the men's AS-3, scoring 7.93 points.
Brazil's Fellipe Kizu Lima triumphed in that division, achieving 14.33 points, while Meira Duarte Va'a of Hawaii completed the podium with 4.4.
This victory helped Brazil finish second in the overall team rankings, a downgrade from their first place finish in 2017 and 2016.
Chile placed third for a bronze medal and Team Hawaii got copper.
England's Melisa Reid made history when she won gold in the women's AS-VI with 14.84 points, becoming the first women's world champion in the division.
Canada's Ling Pai finished second with 9.13 points, while Marta Jordao Paco of Portugal was third on 3.73.
Another significant moment was when 13-year-old Freddy Marimon of Colombia triumphed in the men's AS-5 division with 18.83 points, beating Brazil's Davi Teixeira on 7.36 and Australia's Samantha Bloom with a score of 7.13.
"What a week of competition," said ISA President Fernando Aguerre.
"We watched the sport of adaptive surfing progress before our eyes.
"We had new world champions make a name of themselves on the global stage, and we also had proven world champions continue to stake their claims as the best in the world.
"Most importantly, we had a record number of competitors and women participating in the event, spreading the sport to new surfers around the globe.
"Adaptive surfing has a healing power that has proven to have a positive impact in the lives of those with physical challenges, so we hope to keep growing the sport to make the world a better place, one surfer at a time."