AbstractMaxillofacial surgery can make a substantial contribution to the optimal care of the multiple trauma patient when it is integrated into a coordinated, interdisciplinary overall treatment scheme. With regard to the priority of indication (i.e., reanimation, first surgical phase, stabilization phase), we seldom (1% of cases) have to perform emergency surgery (priority 1) to stop bleeding from the maxillary artery. Clinical and radiographic diagnostic measures can be kept to a minimum, since treatment of the facial skeleton is generally indicated at the end of the stabilization phase (priority 3). As a basic rule, the treatment should be definitive and should be aimed at early mobilization. This requires the uncompromising application of rigid internal fixation.