Objective. The purpose of this work is to optimize the surgical approach, in the treatment of patients with craniofacial trauma by using an anatomical and physiological trauma scoring method. Materials and methods. This paper presents an analysis of the main examination and treatment results of 160 patients with craniofacial trauma who were admitted to the first neurosurgical department for treating patients with combined cranio-facial trauma and injuries of the hearing and vision organs of the city hospital named after Alexander N. in St. Petersburg in the period from 2015 to 2019. Results. The surgical approach based on using the trauma anatomical and physiological scoring methods leads to a reduction of the trauma complications and hospital time treatment, including the intensive care unit (ICU) treatment period. Conclusions. The trauma scoring method shown in this paper (including its anatomical and physiological varieties) is an effective tool in determining the surgical tactic. The significance of this