Zygomatico maxillary fractures are complex and most often due to trauma from road traffic accidents. Increased width of the face and flattening over the zygomatic arch are characteristic findings of these fractures. The number of fixation points used, their location, as well as the incisional access to these fixation points are variable. This a case report and review of conservative management of left maxilla left zygoma left zygomatic arch undisplaced fracture