Damage Control Surgery (DCS) has been the approach in dealing with multi-trauma patients for the last 15 years. In this Cochrane-review the authors seek to compare the outcome of DCS with the outcome after the conventional strategy which is often a time-consuming operation with definitive repair. However, no randomised controlled trials are found, and thus it is not possible to say whether DCS is superior to the conventional approach or not. It is not possible to perform any RCT with these patients. According to literature in general on this subject we believe, nevertheless, that the principles in DCS should be followed.