Correctly planning and accurately predicting bony and soft tissue surgical outcomes are paramount in facial surgery. Advancements in computer imaging have revolutionized the treatment of dentofacial deformities through precision surgery. Surgeon experience and insight are an important part of obtaining the desired functional and esthetic result when using virtual surgical planning. Studies have shown the accuracy and reliability of using computerized virtual planning in fabrication of custom cutting guides and plates in orthognathic surgery. A detailed step-by-step protocol is essential to minimize intraoperative complications.