A woman was forcefully rescued at Umdloti south beach after trying to swim away from the life guards.
Community Emergency Response Team (CERT) Tongaat, said their volunteers spotted a young woman about 700 metres out to sea on Thursday night.
"She was being assisted by surfers however refused their assistance. (The National Sea Rescue Institute) launched their Jetski to rescue her however she kept on swimming away from her rescuers," said CERT in a statement.
"After multiple failed attempts by rescuers to assist the woman for approximately two hours she was forcefully rescued by NSRI and brought to shore."
CERT said the woman was loaded into an ambulance and transferred to a nearby hospital for further treatment.
The circumstances leading up to the incident are still unknown at this stage but police are investigating.