One week before May 15, 1949, the area surrounding Metaxades was occupied by the guerrillas and as a result, the inhabitants of the villages of Paliouri, Polia, Avdella and Alepochori had settled in Metaxades. The soldiers knew about the guerrilla attack and did not let the farmers go to their fields.

The attack began on Sunday, May 15. When the attack commenced, all the civilians in Metaxades hid in strongholds hidden in the ground which could hold 15 to 20 people each. Metaxades hill was guarded by Greek Army soldiers when the attack began. For twenty-four hours the guerrillas repeatedly attempted to occupy the hill but the army and the civilians hiding on the hill successfully repulsed them. The army was in possession of mortars and machine guns which gave them a significant material advantage over the guerrillas, who had a small supply of low-power mortars that could not be used due to lack of training. The hill was under siege by the guerrillas and was resupplied by air drop.

The military continued to defend the hill over the next two days. Due to the ongoing siege a call for reinforcement was sent. Two regiments travelled from the Protokklisi military base to Metaxades and attempted to reach the hill. The siege was breached on May 17 and the reinforcements crossed a minefield to reach the hill. On May 18, several airstrikes occurred which resulted in the death and surrender of most guerrillas.^[7][8]