Introduction: Trauma has the greatest burden of diseases in Iran. Most victims are young men. Road traffic crashes are the most common cause of trauma in Iran. The study has been designed to determine the most ignored need in trauma system in Iran. Materials and Methods: In two studies, the first one conducted by the Sina Trauma and Surgery Research Center (13 sessions) and the second one conducted by the section of Emergency department of Ministry of Health and Medical Education (8 sessions), trauma experts and policy makers discussed and reviewed trauma system strengths and weaknesses in the areas of prevention, treatment, rehabilitation, and surveillance of injured patients. Results: All organizations, including the Ministry of Health, office of injury prevention, emergency section, hospital and health care, Red Crescent, forensic medicine, police, ministry of interior, ministry of road, automobile manufacturers, municipality, media and journalists, NGOs, parliament, and judiciary all have faults and strengths. There were multiple and significant improvements for each organization. The most important defect was lack of unit leadership in the organized management of trauma that is responsible and answerable. In other word, there is lack of coordination and integration in this trauma system. Integrated monitoring system must also be permanent and included sufficient resources. Priority of teamwork in related agencies over individual work is necessary. Conclusion: For serious success in the prevention, treatment, rehabilitation, and surveillance of trauma system, we need a person or organization that is responsible for organizing, coordinating, and integrating efforts in the field of trauma.