In maxillofacial surgery, orbito-zygomaticomaxillary (OZM) fractures provide complex complications that require careful preoperative preparation. The methodical approach to decision-making and key surgical techniques for efficient treatment of OZM fractures are examined in this paper. Surgical intervention is determined by clinical examination and imaging, especially CT scans, with an emphasis on treating functional impairments and structural abnormalities. While orbit reconstruction addresses deficits in orbital floor integrity, fracture detection promotes stability across critical fracture margins. Optimal results are ensured by tailored access techniques and a methodical surgical sequence that optimize fracture reduction and repair. For patients with OZM fractures, preoperative planning is essential to achieve a both functional and aesthetic replacement.