Do all orbital fractures require surgery? As orbital surgery continues to develop in our country, many patients with orbital trauma are being accurately diagnosed. Many orbital fractures that were previously undetected now show up clearly. But do all orbital fractures require a trip to surgery? This is one of the most common questions asked in my clinic. There are clear indications for orbital fracture surgery: a fracture resulting in an orbital depression greater than 2 mm, accompanied by an impairment of eye movement causing diplopia. However, some patients do not show immediate depression early in the fracture because of hematoma and edema at the injury site. At this point we need to rely on experience and technical analysis to determine if the sunkenness will result. Will orbital fracture surgery increase facial scarring? Once a patient needs surgery, another question comes up. Will the surgery create new scars? Will it ruin the facial aesthetics? This is a concern for most patients. The old orbital repair surgery did leave scars on the face, but we now use a minimally invasive subconjunctival dome incision to repair the fracture. This completely avoids the problem of scarring that can occur with traditional surgery. Before the left orbital fracture, the eye was sunken and the eyelid was drooping 10 days after surgery, the fracture was completely repaired and the eyelid was open with no scar. This article is published with the permission of Dr. Shi Vodong.