Surgery First Orthognathic Approach (SFOA) is a new way of tackling jaw surgery. Unlike the traditional method where braces come first, SFOA prioritizes surgery to correct jaw issues impacting chewing, breathing, and facial aesthetics.This innovative approach can significantly shorten treatment time by potentially eliminating the need for lengthy pre-surgical orthodontics. It can also boost patient compliance as they see cosmetic improvements quicker.This book will explore the Surgery First Orthognathic Approach (SFOA) and its relevance across various malocclusions. It will commence by defining SFOA, tracing its historical evolution, delineating its advantages and constraints, and the practical implementation of SFOA in different malocclusions.