Orthognathic surgery consists of a procedure that can be divided in two phases; an orthodontic phase destined to correct dental position and occlusion, and a surgical phase which resolves the individual’s skeletal condition. In the conventional manner, the sequence begins with the orthodontic phase, occlusally decompensating the patient thus altering patients’ aesthetics throughout this period. Based on this conflict, the Surgery First Approach (SFA) has been proposed, beginning with the surgical phase and therefore performing the orthodontic phase in a second instance. This article presents the planning sequence carried out through virtual 3D softwares regarding a singular SFA case. Regarding obtained results and data collected from available evidence, SFA technique is a valid alternative in orthognathic surgery that relies on a series of steps to be followed and interdisciplinary communication in order to achieve satisfactory and accurate results both for patient and practitioners, with a lesser aesthetical and psychological compromise.