AIM:To study the effective method of traumatic lacrimal canaliculus anastomosis. METHODS:Seventy-three eyes with lacrimal canaliculus disease caused by trauma were analyzed retrospectively,and its surgical methods and clinical characteristics were summarized. And then the patients were followed up. Surgical methods included direct searching method,curved needle method and lacrimal sac incision.RESULTS:In 73 cases,56 cases underwent direct searching method,15 cases adopted curve needle method and 2 cases underwent incision of lacrimal sac. The operation was successfully performed in 63 cases,improved in 9 cases and ineffective in 1 case. CONCLUSION:Nasal stump of most of the fresh canalicular lacerations can be found directly,a few could be found by curved needle,stump in individual patients with anatomical abnormalities or old canalicular laceration need to be found with lacrimal sac incision.