As a followup to a longitudinal study of orthognathic surgery patients who had particpated in a study of alternative approaches to surgical preparation, 27 patients were administered questionnaires regarding postsurgical changes in their oral, general, and psychological well-being. Age and sex had minimal effect on the patients' responses. Diagnosis, surgery type, and complications did not influence postoperative patient reports. Esthetic improvement was most often cited as a motive for surgery and most likely to be achieved. Fewer postoperative problems were experienced than expected, although interpersonal problems increased for some patients. Oral and general health problems declined significantly after surgery; the greatest improvements were fo und in occlusion and appearance of teeth and facial profile. Satisfaction with otucomes reflected these improvements in patient well-being. Exceptions to these generally favorable outcomes and the implications for patient preparation for orthognathic surgery are discussed.