AimBear‐related trauma is a significant concern in Japan. This study identified trauma patterns, outcomes, and therapeutic approaches for bear‐related injuries treated.MethodsThis retrospective observational study used medical records from Akita University Hospital, focusing on patients with bear‐related trauma in 2023. Demographic data, injury details, treatment procedures, and outcomes were extracted.ResultsThe study included 20 patients (median age: 74.5 years, 65% males). Most injuries occurred in human habitats, mainly in autumn, with the face being the most affected area (90%). Three patients required emergency transfusions and tracheal intubation. Emergency surgery was performed in 52.6% of patients, and 42.1% were admitted to the intensive care unit. All patients survived with a median hospital stay of 17 days. However, 15.8% of patients had significant sequelae, such as blindness. Despite prophylactic antibiotics, wound infections occurred in 21.1% of patients, particularly in deep wounds that were not adequately washed under general anesthesia.ConclusionsBear‐related trauma often results in severe upper‐body injuries that require prompt medical intervention. These findings highlight the need for improved preventive measures and strategies for initial treatment and long‐term care.