Background: The incidence of maxillofacial injuries is on rise due to the increase in the number of motor vehicle accidents. Fracture maxilla constitute about 11.5% to 18.6%1,2 of total fractures in maxillofacial region. Open Reduction and Internal Fixation (ORIF) under general anaesthesia (GA) with endotracheal intubation is the preferred method for its management. However, along with the advantages of GA, this technique exposes patients to the risks associated with GA. A randomised controlled study was conducted to evaluate the efficacy of regional anaesthesia (RA) as compared to general anaesthesia (GA) for the management of Le Fort I and Le Fort II fracture maxilla by ORIF. Material and Method: Patients were divided in to two groups. Group I was treated under LA with Injection Articaine hydrochloride 4% as local anaesthetic agent and injection Tramadol 1mg/kg dose as pre-emptive analgesic agent. Group II was treated under standard care that is general anaesthesia. Observation and Results: Evaluation was done with various criteria like vital parameters (pulse rate, blood pressure, oxygen saturation), behavioural assessment scoring during regional anaesthesia, immediate post operative complications like nausea/vomiting, post operative edema, duration of hospital stay etc. From the study it is observed that mean time required for surgical procedure under RA was significantly less in group I with less complications rate, 90% of the patients could tolerate the procedure well under RA and procedure was done on day care basis. Conclusion: Le Fort I and Le Fort II fracture involving maxilla can be managed satisfactorily using regional anaesthesia technique. The advantages of regional anaesthesia being a technique for day care procedure with minimal post operative complication and cost effective.