Trauma to the orbit is always complex, and adequate therapy requires that the surgeon be familiar with the detailed anatomy of the orbit and the pattern of injury of the soft and hard tissue components. Preoperative CT, MRI scans, or both are mandatory for diagnosis and proper planning of reconstruction. Although several autogenous and alloplastic materials are available, autogenous bone grafting seems to give the best results. Resorbable materials cannot be recommended for large defects. Instead, either bone or titanium must be considered to achieve a long-lasting, accurate restoration of bony orbital anatomy and dimension. Postoperative CT scan evaluation is of utmost importance regardless of the reconstruction method used.