Combined maxillary-mandibular surgical procedures to correct facial deformities raise problems not usually seem when correction is limited to one arch. When multiple procedures are contemplated, it is easy to lose the relationship of theocclusion to the proposed facial contour. Model surgery is the key to determining the correct surgical site. Conflicting requirements of staging, flap design, and fixation often arise. Six maxillary-mandibular combined correction procedures that required exact diagnosis and careful planning have been presented. Explanning have been presented. Excellent long-term results were gained in each case.