The Ampelmann L-type gangway system

This video briefly describes the special operation of transfer of marine pilots at sea

This is how a ship Pilot boarding a vessel in calm seas.

transfer of Marine Ship's Pilots by helicopter hoist is a demanding task.
Berthing means bringing a vessel to her berth until the ship is made fast. ... The berthing and unberthing manoeuvres require great knowledge and skill by the master, officers and the crew, as well as an excellent team-work with the rope-runners and the mooring party ashore

Since 2022, there is a solution in Germany that helps pilots to report defects in pilot ladders or pilot transfer arrangements quickly and easily. The apps are available for Android & iOS.

In March the Slovenian Government has concluded a contract with the state-owned Kopp Izobraževanje company to provide maritime piloting services in the port of Koper as a public service. So far these services have been provided by private company Piloti Koper.

As seen from the https://www.capewatertours.com/ Dolphin Cruise!!

How hard it can be for small boats at such a weather. Have look at it.
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Transnet National Ports Authority’s (TNPA) Port of Ngqura customers can count on experienced piloting services when their vessels are being moved in and out of the port. Ngqura boasts the services of Marine Pilot Ziggy (Siegfried) Duwe (62), who has achieved more than 4,000 ship movements in the last 12 years. He is the first pilot with this accomplishment in Algoa Bay, according to company records.

Pilot Boat Design by ShipMar
More detail at
https://shipmar.com/divisions/harbour-and-terminal/pilot-1350/