Background: Previous study reported that facial fracture sequelae can affect patient's quality of life. The treatment of maxillofacial fracture ranges from conservative treatment to surgery. The aim of our study is to assess the outcome in patients treated for maxillofacial fractures, both surgically or conservatively. Method: This study was a retrospective study conducted in 2019-2021. Data including general characteristics, fracture pattern and treatment information were collected from medical records. Sequelae was classified into four categories, such as sensibility disturbance, vision disturbance, cosmetic disturbance and mouth opening disturbance. Patients were assessed for long-term sequelae in follow-up records for 12 months post-trauma. Sequelae will be compared to assess the effectiveness of therapy. Results: Our study involved 138 subjects. The most fracture pattern found was isolated maxilla (26.09%) and Le Fort II (22.46%). Mandible (65.94%) was the most found bone fracture, followed by maxilla (61.59%) and orbital (53.62%). After 12 months, numbness, sense of pricking, pain, blindness, scar and loss of check contour was significantly reduced in the surgery group (p<0.05). Hyperesthesia, involuntary movement and trismus also significantly improved in the surgery group (p<0.01). Conclusion: Surgery gives significantly better outcome than conservative therapy. Thorough examination is essential in determining the choice of therapy to prevent sequelae. Even in surgery group, long term follow up should be carried out since sequelae can be induced by structural manipulation during intervention.