Sleep apnea is a very common pathology. The patient has sleep disorders, with usually very loud snoring and stop respiration. Is a very common condition in clase II patients or in long faces with posterior rotational growth of the mandible. It’s very important to recognize that kind of patients, in order to treat them with a combined approach. Orthodontist and surgical procedures will be necessary. During this presentation will be discussing the facial and skeletal appearance, as well as the results of a surgical early treatment in those patients.