AIM:To investigate the clinical effect of suspension of frontal aponeurosis in patients with severe congenital blepharoptosis and surgical complication. METHODS:Eighteen patients (25 eyes)with severe congenital blepharoptosis were treated with suspension of frontal aponeurosis and the operative effect was analyzed retrospectively. RESULTS:The follow-up periods of the patients ranged from 3 months to 12 months. The blepharoptosis was corrected in all cases .At 3 months postoperative, the satisfactory rate was 76%(19/25 eyes),the basically satisfactory rate was 24%(6/25 eyes),no inefficient case .The complications were various degrees of lagophthalmus and recovered in 6 months. There were no severe complication such as ectropion, entropion,malformed upper lid margins,or exposure keratitis and so on. CONCLUSION:Suspension of frontal aponeurosis is an ideal method to treat severe congenital blepharoptosis in patients .