Masseter muscle hypertrophy is an unusual state which may be unilateral or bilateral. It is identified by pain in masseter muscles, limited mouth opening, trismus, bruxism, and prominent mandibular angle. Due to alteration in facial configuration, it remains a cosmetic concern to the patients. The treatment approaches include surgical and non-surgical means. Though non-surgical means provide relief, its success rate on clinical therapy is yet to be determined. Hence this narrative review highlights the effects of masseteric nerve neurectomy in masseter hypertrophied patients.