the orbital floor can be accessed via transcutaneous approach (which provide superior exposure, but the incisions carry a higher risk of visible scars and subsequent ectropion) or transconjunctival approach (which provides adequate visualization of the orbital floor, if further exposure is required, the access can be extended with a lateral canthotomy). The main objective of orbital floor reconstruction is to support the globe and periorbital soft, lifting the eyeball into its correct position and thereby avoiding enophthalmos. The choice of the implant is usually based on the size of the defect, availability of the products, and preference of the surgeon. No matter which material is used, however, certain principles should be kept in mind. Choice of implants in the growing orbit is to be taken into consideration by the surgeon who has to plan for the residual growth of the orbit and possible chances of migration of implants. To find a proper material for orbital floor reconstruction is not an easy task. This has been proved by the wide number of substances of biological or synthetic origin that have been tested over the last 50 years, in the hope that a truly functional biomaterial will eventually materialise. Today a myriad of implants is available on the market to treat orbital floor fractures as biological materials like auto graft (cartilage, bone), homograft, xenograft, and alloplastic materials as titanium, nylon, silicon.