Orthodontics is a dynamic clinical dental specialty which continuously develops its therapeutic abilities and procedures. The beginnings of orthognathic surgery date back to 19th century and in the last few decades intensive cooperation between orthodontists and maxillofacial surgeons results with better and more stabile treatment. Orthognathic surgery is a treatment of choice for patients with dentoskeletal abnormalities where it is not possible to solve the problem with orthodontic treatment, modification of growth or camouflage. The advance of mobilisation and rigid internal fixation of skeletal segments in the last few years has enabled successful therapeutic procedures that solve the problem of dentoskeletal discrepancy. Good interdisciplinary coordination is of great significance that lids to gratifying and expected result. The treatment is chosen exclusively and only by the patient. To help the patient choose the right treatment it is important to have a good first contact, cooperation with the patient and a visual exposition of detailed therapy plan. Despite the fact that during the treatment numerous complications are possible and the treatment itself demands a lot of renunciation and patience of patient in return it gives accuracy and precision in correction of face anomaly that has great importance for psychical and social well-being of the patient. After the procedure and post orthodontic phase in the first year the cooperativity and consistency of the patient in use of retainer is very important so the result would remain stable and recidivism would be prevented.