 This study aimed to evaluate the complications associated with open treatment of mandibular condylar fractures via different surgical approaches. A total of 248 patients were included in this study. The most common complication observed was facial nerve peresis, 37.9%, followed by sialiceal, 1.6%, and malocclusion, 1.6%. There was no significant difference between the two surgical approaches in terms of facial nerve peresis, sialiceal, and malocclusion. However, there was a higher incidence of trismus in the transpalatal approach group compared to the other three groups. This article was authored by Mohammad Adil-Asim, Waseem Ahmed, Mohammad Waseem-Ibrahim, and others.