INTRODUCTION: Head trauma (TBI) is one of the main causes of morbidity and mortality worldwide, especially in the population between 5 and 44 years of age, and corresponds to 10% of the total deaths. It can cause several types of injuries, among them, one can mention the fracture of the skull with sinking, withered by the misalignment of bone fragments in relation to its primitive position. OBJECTIVE: To analyze the surgical treatment of skull fracture with sinking in the first half of 2019 at SUS. METHOD: This is a descriptive, cross-sectional and retrospective study based on data from the Ministry of Health - SUS Hospital Information System (SIH / SUS). RESULTS: During the first half of 2019, there were 518 hospitalizations for surgical treatment of skull fracture with sinking, 36.67% (190) of them in the Northeast, 33.59% (174) in the Southeast, 12.74% (66) in the North, 10.23% (53 ) in the South and 6.75% (35) in the Midwest. CONCLUSION: Brain trauma is a disease mainly associated with modernity. Strategies must be created to minimize its impact and to prevent it.