The surgeries require mandible or the maxilla to be shaped for cosmetic purposes. It is always a team approach where an orthodontist and oral maxillofacial surgeon decides the treatment plan. Accordingly this may include mandibular advancement maxillary advancement genioplasty etc. Cases where there is gross Bony deformities and where it becomes mandatory to undergo surgical procedures to get the desired aesthetic outcome, an orthographic surgery is advised. It is mainly done under general anaesthesia and our hospital has got tie-up with various hospitals along with an experienced team of orthodontist and maxillofacial surgeon for these procedures.