This chapter provides detail description of surgical approaches for treatment of fracture mandible. The chapter has 10 well illustrated diagrams and pictures. Extraoral approach, intraoral approach to the symphysis and body, vestibular incision, mucosal incision, neurovascular structures, surgical flap dissection, fracture site exposure, wound closure, intraoral approach to the angle, intraoral approach to the condylar process and ramus, the use of existing lacerations are described in detail. Summary of chapter is given in a box at the end of the chapter for better understanding.