Background: Among facial fractures, zygomatic fractures are some of the most frequently observed types. The epidemiology of zygomatic fractures is constantly changing and is variable across populations. The present study was conducted to assess etiology of zygomaticomaxillary complex fractures. Materials & Methods: 105 patients of zygomaticomaxillary complex fractures of both genders were recorded. Parameters such as cause of injury, pattern of ZMC fracture was recorded. All the patients were managed following AO principles. Results: Out of 105 patients, males were 65 and females were 40. Age group (years) 11-20 had 12, 21-30 had 25, 31-40 had 38 and 41-50 had 30 patients. Etiology was RTA in 60, fall in 36 and physical violence in 9 cases. Fracture type was atypical in 33 and conventional in 72 cases. The difference was significant (P< 0.05). Conclusion: Zygomaticomaxillary complex fractures were commonly seen among males in age group of 31-40 years and road traffic accident was the leading cause of fracture.