Surgical treatment of condylar osteochondroma combined with secondary dentofacial deformities is a significant clinical challenge. Diagnosis and treatment protocol of condylar osteochondroma patients who also have secondary dentofacial deformities are discussed according to the features of tumor and dentofacial deformities. The condylar osteochondroma and secondary dentofacial deformities were treated through one or several Methods of tumor resection, condylar reconstruction, correction of skeletal deformities, and treatment of malocclusion. Temporomandibular joint function, occlusion, and facial appearance were evaluated after operation by radiographic examination and follow-up. Surgical management of condylar osteochondroma with secondary dentofacial deformities requires careful patient selection, treatment planning, and precise execution.