Facial trauma occurs more frequently in the pediatric populations as compared to adults, totaling 11.3% of all pediatric emergency department visits in the US (Nawar et al. National Hospital Ambulatory Medical Care Survey: 2005 emergency department survey. Center for Disease Control and Prevention, National Center for Health Statistics, Atlanta, 2007). In school aged children, these injuries often occur in sports, falls, or motor vehicle accidents. Specifically, ocular trauma is the number one cause of acquired vision loss in children, with an estimated 160,000–280,000 children requiring hospitalization for ocular trauma annually (Abbott and Shah, Surv Ophthalmol 58(5):476–485, 2013). However, the severity of ocular injuries in children can vary greatly, as 95% of pediatric eye injuries do not require hospitalization. This chapter highlights some of the most important facial and eye injuries that may affect children, their typical presentations, and management pearls.