The surgery-first approach(SFA) for the correction of dento-maxillofacial deformities has attracted the attention of researchers and clinicians in recent years. The SFA proceeds with orthognathic surgery without presurgical orthodontic preparation. Moreover, orthodontic treatment is usually performed postoperatively during the SFA. Several clinical for the feasibility of the SFA and advantages, including rapid profile improvement studies provided a theoretical basis at the beginning of the treatment and great reduction in treatment supported its remarkable time. This article summarizes the advancements, case reports, preliminary clinical studies, clinical manipulations, and disadvantages of the SFA.
