Clinical StudiesSurgery First Orthognathic Approach Without Presurgical Orthodontic Treatment Questions and AnswersChoi, Jong Woo MD, PhD, MMM*; Bradley, James P. MD†Author Information *Department of Plastic and Reconstructive Surgery, Ulsan University, College of Medicine, Seoul Asan Medical Center, Seoul, Korea †Temple University, School of Medicine, Philadelphia, PA. Address correspondence and reprint requests to James P. Bradley, MD, Division of Plastic Surgery, 4th Floor Parkinson, 3401 N. Broad Street, Philadelphia, PA 19104; E-mail: JPBradley4@mac.com Received 18 January, 2017 Accepted 11 February, 2017 The authors report no conflicts of interest. Journal of Craniofacial Surgery: July 2017 - Volume 28 - Issue 5 - p 1330-1333 doi: 10.1097/SCS.0000000000003733 Buy Metrics Abstract “Surgery-First” for patients with malocclusion and skeletal disharmony is a new process of employing bony corrective surgery (first) without removal of dental compensations followed by orthodontic finishing (second). This process breaks with the time-tested principles of traditional orthognathic surgery. Not unexpectedly, there is slow adoption of this new process, particularly in the West. Ten frequently asked questions regarding Surgery First are asked and answered in this report in an attempt to provide an increased level of comfort for Plastic and Maxillofacial Surgeons in instituting this process in their practice. © 2017 by Mutaz B. Habal, MD.