This study of 705 cases of road traffic accidents at the HPGRB showed that this is a public health problem in the DRC. RTAs are responsible for a great deal of morbidity and mortality. Men are the most affected and young people are the most affected population. The victims of ATR are often inhabitants of the commune of Kadutu followed by the outskirts of the city of Bukavu. Pupils and unemployed students are more affected. Pedestrians are more exposed to TIAs. Motorcycles are responsible for a significant share of mortality and morbidity. The areas of the body affected and the most requested radiographic examinations are those of the head and the lower limbs. The most frequent injuries are head injuries and fractures associated with visceral injuries, which were responsible for a large proportion of the deaths. The reduction of the number of accidents and victims on the roads of Bukavu in particular and of the DRC in general can only be done if the causal factors of the risk of accident are eliminated, hence a real management of road safety which first of all requires a political will.