Introduction: Trauma is a major health problem in Saudi Arabia and the number one cause of mortality. Tremendous effort is needed to improve the quality of care to decrease the burden of this health problem on national hospitals. To be able to establish a new trauma system, we need to have a better insight into the current level of care and practice. This study aims to shed light on trauma patients presenting to the largest emergency department (ED) in Makkah, Saudi Arabia, and determine the length of stay (LOS) for all trauma patients. Methodology: During the 31-day study period, 1984 trauma visits in Alnoor Specialist Hospital in Makkah have been analyzed. The LOS of all the patients presented to ED is calculated and then compared to the LOS of all nontrauma patients. Results: The analysis showed a significant increase in LOS of trauma patients. Several factors have been identified as the major causes of prolonged stay. A priceless insight of the current care provided to trauma patients is described in this study. Further efforts should be focused on the need of advanced trauma care to improve patient's care.