There have been an increasing number of bear sightings in recent years, and it is expected that there will be an increased need to treat bear-inflicted injuries at hospitals near mountains with bear habitat. Here, we report 4 patients with injuries caused by bears, who were treated at our hospital over the past 2 years. We also discuss the issues important in the initial treatment of these injuries. Most bear-inflicted injuries involve the craniofacial region. Facial soft tissue injuries include injuries to the eyes, nasolacrimal ducts, parotid ducts, and facial nerves. It may be necessary to consult a specialist based on the sites and severity of the injuries. The prevention of tetanus and other bacterial infections is also important. Serious infections were avoided in our 4 cases and in other patients reported in the literature by thorough irrigation of wounds and administration of antibiotics, tetanus toxoid, and human antitetanus immunoglobulin. Wounds in the limbs required more time to heal compared to craniofacial wounds. It is important to know about facial soft tissue injuries and prevention of infection for the treatment of bear-inflicted injuries. (JJAAM. 2011; 22: 229-35)