The most commonly used approaches to the infraorbital rim and orbital floor are the subciliary and thtransconjuctival approach. In this study, we compared between both approaches in sixty patients. The subciliary approach in-spite of it rarely leaves a noticeable scar but has significant instant of temporary lower eye lid retraction that often results in permenanently severly inflamed and injured tissue. There is a current trend towards more central placement of incisions with respect to the globe, which provide nearly equal access and improved esthetics. Successful utilization of these approaches is dependent on surgeon’s appreciation of the relationship between eyelid/periorbital anatomy, and lid’ocular function. That evolved the transconjuctival approach that decreases the risk of postoperative eye lid retraction, with lower incidence of ectropion in case of utilization of the transconjunctival approach versus the subciliary approach. Key Words: Orbital floor rim fracture, Subciliary, Preseptaltransconjunctival.