Objective: The aim of this review is to stand upon the frequency and the major causes of depressed fractures, assessment of factors that determine outcome in surgically treated cases and to develop a strategy for treatment of these depressed fractures. Also how to decrease the occurrence rate of depressed skull fractures. Methods: The study was done in the Neurosurgery department Beni-suef university hospitals, between May 2021 and May 2023. We reviewed the data of 60 cases that were admitted with depressed fracture and managed surgically. The patients included in this study from any group of age with palpable depressed fracture if possible and confirmed by brain CT scan with both soft and bone window. Glasgow outcome score was used to assess Outcome. Results:  60 cases were involved in the study. 45 cases  (75%) were  males and 15 case  (25%) were  females with mean age  30.5 years, between the 60 patients58.7% were aged between 15 and 40 years. the most common cause is   Blunt head trauma mainly during street fight followed by road traffic accidents.  Frontal bones are the commonest site of fracture it happened in 28 cases (46.7%), followed by parietal bone in 22 patients (36.6%). There was an obvious relationship between the mode of injury, Glasgow coma scale (GCS) score at the admission and discharge, and the presence of underlying brain injuries with the outcome. Conclusion: skull Depressed fractures are common neuro surgical issue. Early surgical maneuver gives excellent results and decrease both mortality and morbidity.