Ballistic trauma poses significant challenges in trauma care due to the diverse clinical presentations and severity of injuries caused by projectiles such as bullets, birdshot, or explosive fragments. We conducted a retrospective study over two years at Hassan II Laayoune military hospital to analyze the circumstances, injury profiles, and management outcomes of ballistic trauma patients. The study involved 32 patients, all male, predominantly aged between 31-40 years. Most patients (62.5%) were stable hemodynamically and respiratorily upon admission, with half of them sustaining limb injuries. The overall recovery was favorable in 62.5% of cases, while mortality stood at 37.5% (12 out of 32 cases). Effective management strategies are crucial in improving outcomes for ballistic trauma patients. Early assessment of injury severity guides appropriate prehospital interventions and directs patients to specialized care facilities promptly, reducing the need for later inter-hospital transfers. The "Golden Hour" principle underscores the urgency of rapid transfer to definitive care centers, prioritizing immediate hemorrhage control over prolonged prehospital procedures. Small Volume Resuscitation advocates for hypertonic solutions to maintain targeted blood pressure levels, minimizing fluid volumes to prevent clotting issues. Permissive Hypotension recommends controlled low blood pressure until definitive hemostasis is achieved, avoiding excessive fluid administration that could worsen bleeding. Understanding ballistic injury mechanisms, including temporary cavitation and specific wound characteristics, informs tailored trauma care protocols. Prehospital strategies like "scoop and run" versus "stay and play" aim to balance swift transportation with on-scene stabilization efforts. Techniques such as tourniquet application and early medical interventions are critical in reducing mortality rates associated with severe trauma, emphasizing the importance of timely and effective trauma care practices.