Objective To study the application effect of cosmetic suture repair in emergency facial trauma. Methods A total of 58 patients with emergency facial trauma admitted to our hospital from January 2021 to January 2022 were randomly divided into observation group and control group, with 29 patients in each group. The control group was treated with traditional emergency debridement suture technique, and the observation group was treated with cosmetic suture repair. The wound healing, recovery rate, operation time, wound healing time, anxiety score (HAMA) and satisfaction score were compared between the two groups. Results The wound healing score of the observation group was lower than that of the control group (P0.05). The wound healing time of the observation group was shorter than that of the control group (P