Safe and efficient flight operations depend on effective air traffic management and the decision-making skills of air traffic control officers (ATCOs). However, managing air traffic in terminal control areas (TMAs), especially in approach control units, is challenging due to the complexity of the airspace. This is particularly evident in metroplex airspaces like the Istanbul TMA, which features multiple civil and military airports, diverse approach systems, and heavy traffic volumes, all contributing to an exceptionally complex operational environment. This study examines how experienced ATCOs perceive airspace complexity, focusing on approach control units within TMAs. Using Istanbul TMA as a case study, the research combines qualitative and quantitative methods to analyse the factors contributing to complexity. In the first phase, the Content Validity Method (CVM) is used to identify and confirm the key factors influencing airspace complexity. In the second phase, the Best-Worst Method (BWM) is applied to measure the importance of these factors. The study involves two groups of ATCOs: 40 in the first group and 20 in the second. The results reveal that ‘conflicts’ are the most critical factor affecting airspace complexity, highlighting the importance of conflict resolution in air traffic control. Other significant factors include rules and procedures, airspace design and traffic density. This study provides clear insights into the challenges of managing TMA, especially in metroplex airspace. Identifying and analysing the key factors offers valuable guidance for improving air traffic management and supporting ATCOs in making better decisions.