During the past decade, oral and maxillofacial surgeons, as well as orthodontist use to plan their treatments in a very different way. The gold standard included manual or computer cephalometric analysis, articulated cast, and patients’ lateral face pictures. Even though the final results were very accurate, neither the patient no the doctor could evaluate the third dimension. When 3D virtual surgery soft wares appeared, the postop facial appearance could be completely evaluated, and corrections to the occlusal plane could be possible with a very short mistake. The aim of this presentation is to describe and analyze the workflow process of 3D virtual surgical planning in orthognathic surgery, emphasizing the main advantages regarding orthodontics and surgical treatment outcomes. The perspective is based on author´s experience and current literature. Many topics are included in order to provide basic aspects and pitfalls for virtual surgical planning in orthognathic surgery. The authors will analyze the differences between the manual orthognathic planning and the virtual 3D planning. The perspective of the future changes related with cutting guides and customized plate systems will be discuss in this lecture as well.