Orthodontist is not focusing only on patient’s teeth and occlusion, the focus is also on reconstruction of entire face. Since the therapy often lasts for several years, orthodontist must establish an excellent relationship with patient, has to be good phycologist to find proper way to convey to patients the importance of accepting and adhering to all given instructions, because patients are partners in this process and they are often traumatized of having orthodontic treatment. Patients have to be aware of all benefits of the treatment and of the advantages it offers, which outweigh any possible damage it may cause. The major risks of orthodontic treatment are: dental (decalcification, root shortening); periodontal (gingivitis, periodontitis); temporomandibular joint (condylar resorption, temporomandibular dysfunction); soft tissues of the oral and maxillofacial region (trauma, mucosal ulceration or hyperplasia); unsatisfactory treatment outcome (inadequate morpho-functional, aesthetic or functional final result); psychological (teasing, behavioural changes of patients); gastro-intestinal (accidental swallowing of small parts of the orthodontic device); allergies (to nickel or latex); cardiac (infective endocarditis); chronic fatigue syndrome; cross infections (from doctor to patient, from patient to doctor). It is important to assess the risks of treatment as well as the potential gain and balance these aspects of treatment, before deciding on treatment. Selection of patients also plays a vital role in minimizing risks of treatment and doctor should be vigilant in assessing every aspect of the patient and their malocclusion. The goal of the orthodontic treatment is expected to achieve the state of complete physical, mental and social well-being of the patient.