Tetraodontidae

The puffer's unique and distinctive natural defenses help compensate for its slow locomotion. It moves by combining pectoral, dorsal, anal, and caudal fin motions. This makes it highly maneuverable, but very slow, so a comparatively easy predation target. Its tail fin is mainly used as a rudder, but it can be used for a sudden evasive burst of speed that shows none of the care and precision of its usual movements.[12] The puffer's excellent eyesight, combined with this speed burst, is the first and most important defense against predators.

Guineafowl puffer – unpuffed and puffed

The pufferfish's secondary defense mechanism, used if successfully pursued, is to fill its extremely elastic stomach with water (or air when outside the water) until it is much larger and almost spherical in shape. Even if they are not visible when the puffer is not inflated, all puffers have pointed spines, so a hungry predator may suddenly find itself facing an unpalatable, pointy ball rather than a slow, easy meal. Predators that do not heed this warning (or are "lucky" enough to catch the puffer suddenly, before or during inflation) may die from choking, and predators that do manage to swallow the puffer may find their stomachs full of tetrodotoxin (TTX), making puffers an unpleasant, possibly lethal, choice of prey. This neurotoxin is found primarily in the ovaries and liver, although smaller amounts exist in the intestines and skin, as well as trace amounts in muscle. It does not always have a lethal effect on large predators, such as sharks, but it can kill humans.

Larval pufferfish are chemically defended by the presence of TTX on the surface of skin, which causes predators to spit them out.[13]

Not all puffers are necessarily poisonous; the flesh of the northern puffer is not toxic (a level of poison can be found in its viscera) and it is considered a delicacy in North America.[3] Takifugu oblongus, for example, is a fugu puffer that is not poisonous, and toxin level varies widely even in fish that are. A puffer's neurotoxin is not necessarily as toxic to other animals as it is to humans, and puffers are eaten routinely by some species of fish, such as lizardfish[14] and sharks.[15]

Puffers are able to move their eyes independently, and many species can change the color or intensity of their patterns in response to environmental changes. In these respects, they are somewhat similar to the terrestrial chameleon. Although most puffers are drab, many have bright colors and distinctive markings,[6] and make no attempt to hide from predators. This is likely an example of honestly signaled aposematism.[16]

Dolphins have been filmed expertly handling pufferfish amongst themselves in an apparent attempt to get intoxicated or enter a trance-like state.[17]

Many marine puffers have a pelagic, or open-ocean, life stage. Spawning occurs after males slowly push females to the water surface or join females already present. The eggs are spherical and buoyant. Hatching occurs after roughly four days. The fry are tiny, but under magnification have a shape usually reminiscent of a pufferfish. They have a functional mouth and eyes, and must eat within a few days. Brackish-water puffers may breed in bays in a manner similar to marine species, or may breed more similarly to the freshwater species, in cases where they have moved far enough upriver.

Reproduction in freshwater species varies quite a bit. The dwarf puffers court with males following females, possibly displaying the crests and keels unique to this subgroup of species. After the female accepts his advances, she will lead the male into plants or another form of cover, where she can release eggs for fertilization. The male may help her by rubbing against her side. This has been observed in captivity, and they are the only commonly captive-spawned puffer species.

Target-group puffers have also been spawned in aquaria, and follow a similar courting behavior, minus the crest/keel display. Eggs are laid, though, on a flat piece of slate or other smooth, hard material, to which they adhere. The male will guard them until they hatch, carefully blowing water over them regularly to keep the eggs healthy. His parenting is finished when the young hatch and the fry are on their own.

In 2012, males of the species Torquigener albomaculosus were documented while carving large and complex geometric, circular structures in the seabed sand in Amami Ōshima, Japan. The structures serve to attract females and to provide a safe place for them to lay their eggs.[18]

Information on breeding of specific species is very limited. T. nigroviridis, the green-spotted puffer, has recently been spawned artificially under captive conditions. It is believed to spawn in bays in a similar manner to saltwater species, as their sperm was found to be motile only at full marine salinities, but wild breeding has never been observed. Xenopterus naritus has been reported to be the first bred artificially in Sarawak, Northwestern Borneo, in June 2016, and the main purpose was for development of aquaculture of the species.[19]

Pufferfish diets can vary depending on their environment. Traditionally, their diet consists mostly of algae and small invertebrates. They can survive on a completely vegetarian diet if their environment is lacking resources, but prefer an omnivorous food selection. Larger species of pufferfish are able to use their beak-like front teeth to break open clams, mussels, and other shellfish. Some species of pufferfish have also been known to enact various hunting techniques ranging from ambush to open-water hunting.[20]

• Spots, stripes and elaborations
• 
  White-spotted puffer
• 
  Striped puffer
• 
  Elaborate skin pattern of the giant or mbu puffer

In September 2012, the Bureau of Fisheries and Aquatic Resources in the Philippines issued a warning not to eat puffer fish, after local fishermen died upon consuming puffer fish for dinner. The warning indicated that puffer fish toxin is 100 times more potent than cyanide.[26]

Pufferfish, called pakapao in Thailand, are usually consumed by mistake. They are often cheaper than other fish, and because they contain inconsistent levels of toxins between fish and season, there is little awareness or monitoring of the danger. Consumers are regularly hospitalized and some even die from the poisoning.

Cases of neurological symptoms, including numbness and tingling of the lips and mouth, have been reported to rise after the consumption of puffers caught in the area of Titusville, Florida, USA. The symptoms generally resolve within hours to days, although one affected individual required intubation for 72 hours.[27] As a result, Florida banned the harvesting of puffers from certain bodies of water.[28]

Treatment is mainly supportive and consists of intestinal decontamination with gastric lavage and activated charcoal, and life-support until the toxin is metabolized. Case reports suggest anticholinesterases such as edrophonium may be effective.