Somersaults with or without twists are the most important elements in sports such as gymnastics or trampolining. Moreover, to perform elements with the highest possible difficulty gymnasts should show good form and execution during the flight phase. In order to ensure perfect body control and a safe landing, gaze behavior has been proven to be crucial for athletes to orientate in the air. As eye movement and head movement are closely coordinated, both must be examined while investigating gaze behavior. The aim of the current study is to analyze athletes' head motion and gaze behavior during somersaults with full twists. 15 skilled trampoline gymnasts performed back straight somersaults with a full twist (back full) on the trampoline. Eye movement and head movement were recorded using a portable eye-tracking device and a motion capture suit. The results indicate that gymnasts use the trampoline bed as a fixation point for orientation and control the back full, whereas the fixation onsets for athletes of a better performance class occur significantly later. A strong coordination between gymnasts' eye movement and head movement could be determined: stabilizing the gaze during the fixation period, the eyes move in combination with the head against the twisted somersault direction to counteract the whole body rotation. Although no significant differences could be found between the performance classes with regard to the maximum axial head rotations and maximum head extensions, there seems to be a trend that less skilled gymnasts need orientation as early as possible resulting in greater head rotation angles but a poorer execution.