Post-traumatic stress disorder (PTSD) is triggered by an extremely threatening or catastrophic event. Untreated PTSD can lead to depression, panic disorder, phobias and substance abuse. Early intervention and referral to a clinical psychologist has a role in preventing chronic problems subsequently. Trauma patients in our plastic surgery department are not routinely screened however due to the nature and severity of their injuries, they are at considerable risk of developing PTSD and/or depression.To identify and treat trauma patients at risk of PTSD and depression in plastic surgery.We used a validated 10-point questionnaire, the post-traumatic adjustment scale (PAS), to assess risk of depression and PTSD in plastic surgery trauma patients. Patients scoring total >16 were at risk of PTSD and scores>4 (PAS sum of scores from questions 1+2+4+7+8) were at risk of depression.Twenty-one cases collected from inpatients on the plastic surgery ward. Nature of injuries included crush, stabbing/knife lacerations, dog bites and road traffic accidents. Of these, 19% were at risk of PTSD and 19% at risk of depression. The study was repeated in plastics trauma clinic where patients first present. A further 20 cases were collected and of these, 40% were at risk of depression and 5% at risk of PTSD.In both samples, 1/3 patients were at risk of depression. Numbers at risk of PTSD were greater in the sample collected from plastics inpatient ward. Based on this, we propose trauma patients in plastic surgery should be routinely screened and considered for further psychological intervention.