Objective: Evaluation of our management of acute or chronic traumatic diaphragmatic hernia repair with sutures or mesh. Patients and methods: Between January 2014 and January 2019, a retrospective study on 185 patients with acute and chronic traumatic diaphragmatic hernias was carried out at the general surgery department of Zagazig University. Results both during and after surgery were assessed. Results: The median age of the patients was 42.6±8.3 years, with 81% being male. Blunt trauma was the most typical cause of diaphragmatic hernia (79% of cases). Acute and chronic diaphragmatic hernias had damage severity scores of 27.71±3.73 and 12.42±2.51, respectively. The left copula was the most common location for diaphragmatic hernias (89%), and they were typically less than 10 cm in diameter (82%), with 83% being sutured closed. The most typical organs affected by the hernia were the stomach (61%) and the spleen (38%). The average operation lasted 93± 20.2 minutes. One hundred one patients (101/133, 76%) experienced an isolated diaphragmatic hernia, whereas 32 patients (32/133, 24%) did so in conjunction with other organ injuries, the most frequent of which were splenic injuries (6/32), stomach injuries (4/32) and thoracic injuries (7/32). The median length of stay in the hospital was 9.63±3.11 days, while the median length of analgesic use was 4±2.1 days. The most frequent postoperative problems included wound infection (13%), ileus (2%), intestinal leak (3%), intra-abdominal abscess (3%), adherent intestinal obstruction (2%), incisional hernia (4%), recurrent diaphragmatic hernia (2%), totaling 18% of postoperative complications. Reintervention was necessary for 12.5% of patients, and the most frequent reasons were intestinal leak (2%), intra-abdominal abscess (3%), adhesive IO (1.5%), incisional hernia (4%), and recurrence (2%). Four cases of intraoperative death and 3 cases of postoperative death made up the 4% overall mortality rate (7 cases). Conclusion: Suture or mesh repair of acute or chronic traumatic diaphragmatic hernia is safe, with minimal morbidity and mortality and a low recurrence rate.