Oral and maxillofacial surgeons play an important role in the treatment of patients in wartime, because many wounded individuals suffer from injuries in the facial area, maxillofacial surgeons represent a vital part of the trauma team. Since the beginning of the Syrian uprising in 2011, war victims have been facing daily attacks from different weapons, firearms mainly resulting in serious life-threatening injuries. The aim of this presentation is to evaluate the patterns of these complex maxillofacial gunshot injuries sustained in the modern warfare by sampling a number of patients from the Syrian causalities, those who have been treated by our team in the Syrian refugee camps in Turkey (September 2012) and also to discuss the management of these unique injuries as they represent a new challenging entity in the trauma field encountered by maxillofacial surgeons today.