It is important that a clinician listens to patient’s concerns and expectations and plans the treatment with mutual agreement. Patient’s chief concerns and the severity of the problems are taken into consideration and a prioritized problem list is prepared. Treatment is based on the plan developed by a team consisting of maxillofacial surgeon, orthodontist and other specialists. Possibilities of remodelling and reshaping the maxillofacial region have improved enormously and the limitations have been scaled down. However surgically assisted maxillofacial orthopaedics is gaining acceptance as a useful mode of treatment in adults, especially when the requirement is expansion and/or elongation. Patients whose maxillary deficiency is due to early synostosis of sutures (Crouzon’s and Apert’s Syndromes) are not good candidates for dentofacial orthopaedics.