The severe craniofacial injuries connected with agricultural work in rural children and adolescents were analysed. The analysis took into account the causes for injuries, their types and treatment. The studied group were hospitalized and constituted 18.6% of the patients of the specialized surgery department. The most severe injuries of the face and the bone structure occurred during operating or assisting in operating farming equipment, wood processing, as a result of the fall from a height, or were injuries inflicted by an animal. Causes of injuries sustained by rural children are analogous to factors causing injuries in adult agricultural workers. The practice of employing children to perform agricultural work should be prohibited because severe injuries of the facial skeleton and soft tissues may lead to disorders in children’s physical and mental development.