The records of 25 patients with diaphragmatic injuries seen at Chonnam University Hospital from January 1980 through March 1988 were reviewed. The age and sex distribution were ranged from 1 to 64 years, predominant third decades and occurred commonly in male. Causes included blunt trauma in 16 patients [64 %] and penetrating wound in 9 patients [36 %] i.e., traffic accident, stab wound, crash, crunch and gunshot wound in order frequency. Most common symptoms were short of breath [64%] and abdominal pain [56 %]. Approaches of repair were performed in 16 patients transthoracically, 7 patients transabdominally and 2 patients thoracoabdominally. The mortality rate for these operation was 4 % [1 case] due to multiple associated injuries and causes of death were massive hemorrhage and coagulopathy. Admitted blood pressure in penetrating trauma was more stable than blunt trauma. The ruptured sites were located on the left in 22 patients and on the right in 3 patients receiving penetrating wound. A presumptive preoperative diagnosis of diaphragmatic injury from chest X * ray finding was possible in only patients [52%] and was not clear in 10 patients [40%] preoperatively