Fracture of condylar region varies in severity from a simple crack to major disruption. Fracture may involve only condylar head, neck, subcondylar region or the condylar stump. To consider the components of contemporary, meaningful condylar fracture treatment decisions, consideration of the each of the variables that affect outcome in condylar fractures is necessary. The emergence of managed care has affected the use of procedures as disparate as coronary artery bypass graft surgery and cholecystectomy. Justification for treatment of condylar fractures is dependent on the evidence amassed to support the proposed therapy.The topic of condylar injury in adults has generated more discussion and controversy than any other in the field of maxillofacial trauma. An injury to condyle deserves special consideration apart from the rest of mandible due to their anatomical differences and their healing potential.