This is a unique and comprehensive, but concise illustrated operative manual for surgical and orthodontic consultants and trainees as well as for theatre and ward staff. It also describes in detail the current state of computerised cephalometry and contains up-to-date sections on imaging and surgical planning. Some important sections include: Secondary management of clefts (including the role of distraction osteogenesis), rhinoplasty surgery, temporomandibular joint ankylosis, nutrition, the important psychopathological aspects of orthognathic surgery, where the borderland between aesthetics and cosmesis can destabilise the patient and create unexpected problems for the clinician, and there is a unique section on the multistage planning process, which provides an increased understanding of the accuracy of record transfer and the challenges of rigid internal fixation.