Facial nerve palsy, typically presenting as unilateral facial weakness or paralysis, may arise from various underlying conditions. This chapter provides a systematic approach to the primary care management of facial nerve palsy, guiding clinicians in diagnosis and treatment. It highlights the importance of distinguishing Bell’s palsy from more serious causes that warrant urgent referral. Evidence-based strategies are outlined, including corticosteroid therapy for Bell’s palsy, analgesics for pain relief, and the role of physiotherapy in functional recovery.