Background : Mandibular fractures involve one of the most frequent maxillofacial injuries with potential functional and aesthetic repercussions when improperly treated. It is well- established that certain treatment options are deemed conservative and others are surgical; the outcomes and postoperative complications vary with the type of intervention. Objectives: To observe the effectiveness of the varied approaches used to manage the mandibular fractures and their relationship to the complications observed after surgery in the patients of Bolan Medical Complex Hospital Quetta. Study design : A Cross sectional study. Place and duration of study. From August 2023 up to July 2024 on 150 patients with mandibular fractures at Bolan Medical Complex Hospital Quetta Methods: this cross sectional study was conducted from August 2023 up to July 2024 on 150 patients with mandibular fractures at Bolan Medical Complex Hospital Quetta. Information such as the age, sex, type and location of fracture, methods of treatment and complications encountered during the after-surgery were recorded and reviewed. Descriptive analysis was done using mean age and standard deviation while inferential analysis used p-values in order to compare different treatment interventions. Results : The mean age of the participants was 32. 5 years (±8. 7) and the patients were 150 in number. Seventy percent of the patients underwent surgery whereas the rest of the 30% were managed conservatively. Of all patients, 20 % developed postoperative complications with infection being higher in the ORIF group, p = 0. 032). The frequency of malocclusion was significantly less in the operated group of patients who underwent ORIF than in other patients who were managed conservatively, statistical analysis = 0,047. The proportion of cases with favourable outcome of treatment was 85%, and it was indicated that there were fewer complications if surgical treatment was done at the right time. Conclusion :ORIF yields a better outcome in the management of mandibular fractures as regards postoperative complications when compared to conservative management. It seems judicious and timely management of children with such complications will greatly determine their effects.