Abstract : Zygomatic region is the most prominent portion of the face after nasal bone and mandible. The zygomatic bone is the principle buttress between the cranium and maxilla. The prominence of zygomatic bone predisposes it to bear the brunt of facial injuries. Considering high incidence of zygomatic complex fractures and its high morbidity complications, this study had been planned to find out the important clinical and epidemiological features in patients with zygomatic complex fracture, presented in PIMS hospital Islamabad. This descriptive cross-sectional study had been carried out in a public sector tertiary care hospital of Islamabad, Pakistan. This study had been granted approval by the Institutional Review Board of PIMS Hospital, Islamabad, Pakistan. In total, of fifty (50) patients with isolated tripod zygoma fracture were included in this study. Clinical and epidemiological features were noted in a structured proforma and were analyzed using SPSS 20.0. The majority of treated patients were drivers (30%) followed by labours (22%) reporting mostly from rural area (54%). Commonly reported with RTA (34%) followed by inter personal violence (32%) with dominance of fracture zygoma type-3 (A&B) of left side (56%). Infra-orbital sensory disturbance was hypoesthesia (24%), having aesthetic concern grade-III (86%) and grade-IV (14%) with limited mouth opening of 25 to 30 mm in 19 patients (38%) followed by 31 to 40 mm (32%). Patients commonly reported with RTA with dominance of fracture zygoma type-3 (A&B) of left side. Common complications include infra-orbital sensory disturbance, hypoesthesia, aesthetic concern and limited mouth opening