Skeletal Class II malocclusions with vertical maxillary excess (VME) present with an amalgamation of several problems pertaining to psychological, esthetics, and function.The optimal treatment plan in Accessories such cases includes a synchronized orthodontic-surgical approach through superior repositioning and setback of maxilla by means of Le Fort I osteotomy and augmentation genioplasty.This case report Pads describes a multidisciplinary approach in the successful management of a patient with VME to achieve superior esthetics and function.