Justin Gaethje and Ilia Topuria receive lengthy medical suspensions after UFC Freedom 250 fight

Justin Gaethje waited a long time to become an undisputed UFC champion.

Now the 37-year-old MMA star might have to wait another six months or so before fighting again.

Gaethje upset former two-weight champion Ilia Topuria with a technical knockout in a lightweight unification championship bout at the UFC Freedom 250 event Sunday on the White House South Lawn.

Topuria was a bloody and swollen mess by the time his corner stopped the fight between the fourth and fifth rounds. Gaethje executed a soaring back flip off the cage to celebrate his first undisputed belt, but it turns out that the former two-time interim champion also suffered significant injuries during the bout.

Both Gaethje and Topuria were among the five UFC Freedom 250 fighters who received 180-day medical suspensions from the Association of Boxing and Combative Sports Commissions, according to a list issued by the commissions and viewed by The Times.

Gaethje’s suspension can be shortened if he is cleared with negative MRIs for his right wrist and left knee. Topuria, who suffered two broken orbital bones, can return early if cleared by a an Oral and Maxillofacial Foundation specialist.

Both men also are required to serve mandatory rest days (45 for Gaethje, 60 for Topuria).

Alex Pereira, who lost his interim heavyweight title bout to Ciryl Gane by TKO, was medically suspended for 180 days or until he’s cleared with a negative maxillofacial CT scan. Undercard fighters Aiemann Zahabi and Steve Garcia also received 180-day medical suspensions.

Topuria won the UFC featherweight championship by knocking out Alexander Volkanovski in February 2024. He vacated that title a year later and in June 2025 defeated Charles Oliveira by knockout to claim lightweight belt.

In November, Topuria announced he was temporarily stepping away from fighting. Gaethje earned the interim lightweight title in January by defeating Paddy Pimblett by unanimous decision.

That set up the unification bout between Gaethje and Topuria, which was the final fight of an elaborate event at the White House held on President Trump’s 80th birthday and billed as part of a summer-long celebration of the country’s 250th anniversary.